Abstract
A comparative investigation of the epidemiological, clinical, and pathogenetic indices of cerebral stroke in 1153 representatives of different age has been conducted. The prevalence of the incidence of strokes among women of elderly and very elderly age is largely due to the higher life expectancy of women compared to men. A significant number of intracerebral blood effusions in elderly and very elderly age can arise secondarily after ischemic focus formation of the type of “red softening.” This, to a certain extent, can be explained by the high frequency of somatic complications of stroke, disorders of consciousness, and high mortality among persons older than 60 years compared to younger people. Less positive clinical outcomes of stroke at elderly and very elderly age, even when increasing the length of their hospital stay, may indicate shortcomings in the existing standards of diagnostics and treatment in people with a combination of background pathologies in stroke completely different from that of the young individuals.
Similar content being viewed by others
References
Gurvich, E.T. and Sonina, Yu.V., Microanalysis of the Russian pension system, Vopr. Ekon., 2012, no. 2, pp. 27–51.
Denisov, I.N., Kandyba, D.V., Kuznetsova, O.Yu., et al., Diagnostika i taktika pri insul’te v usloviyakh obshchei vrachebnoi praktiki, vklyuchaya pervichnuyu i vtorichnuyu profilaktiku: knlinicheskie rekommendatsii (Diagnostics and Tactics in Stroke in General Medical Practice Including Primary and Secondary Prevention Therapy: Clinical Recommendations), Kazan, 2013.
Il’nitskii, A.N., Clinical pathology of polymorbidity in geriatric practice, Usp. Gerontol., 2011, vol. 24, no. 2, pp. 285–289.
Lazebnik, L.B., Aging and polymorbidity, Consilium Med., 2005, no. 12, pp. 993–996.
L’vova, O.A. and Kovtun, O.P., Clinical and laboratory criteria for early diagnosis of ischemic stroke in children, Med. Nauka Obraz. Urala, 2016, no. 4, pp. 10–15.
L’vova, O.A., Orlova, E.A., Gavrilov, I.V., et al., Transient ischemic attacks beginning in childhood and young age: risk factors and therapy, Ural. Med. Zh., 2016, no. 4, pp. 35–40.
Myakotykh, V.S., Borovkova, T.A., Myakotykh, K.V., and Lespukh, N.I., Efficiency of rehabilitation treatment of elderly and senile people after ischemic stroke, Usp. Gerontol., 2011, vol. 24, no. 2, pp. 290–299.
Myakotnykh, V.S., Emel’yanov, V.V., Gavrilov, I.V., et al., Age and sexual aspects of lipid spectrum and stress-realizing systems of the human body in the aging, Usp. Gerontol., 2015, vol. 28, no. 4, pp. 718–724.
Myakotnykh, V.S., Kravtsova, E.Y., Martynova, G.A., Soloviev, R.V., Berezina, D.A., Borovkova, T.A., and Myakotnykh, K.V., Clinical and pathogenic features of ischemic stroke among representatives of different gender and age groups, Adv. Gerontol., 2016, vol. 6, no. 1, pp. 52–59.
Myakotnykh, V.S., Lespukh, N.I., Makeeva, N.N., and Borovkova, T.A., Rehabilitation of elderly patients after ischemic strokes, Al’m. Gerontol. Geriatr., 2001, no. 1, pp. 213–215.
Myakotnykh, V.S., Myakotnykh, K.V., Lespukh, N.I., and Borovkova, T.A., Depressive disorders among elderly and senile patients during rehabilitation after acute ischemic stroke, Adv. Gerontol., 2013, vol. 3, no. 2, pp. 104–111.
Myakotnykh, V.S., Torgashov, M.N., and Borovkova, T.A., Stress i vozrast (Stress and Age), Yekaterinburg: Ural. Gos. Med. Univ., 2016.
Putilina, M.V., Therapy of cerebral strokes in elderly and senile patients taking into account clinical and pathogenetic features, Consilium Med., 2011, no. 2, pp. 14–18.
Pyshkina, A.I., Kabanov, A.A., and Alibekova, Zh.M., Demographic features of the risk factors for the development of ischemic stroke in the Republic of Dagestan, Zh. Nevrol. Psikhiatr., 2014, vol. 114, no. 8-2, pp. 65–68.
Starodubtseva, O.S. and Begicheva, S.V., Analysis of the stroke cases using information technology, Fundam. Issled., 2012, no. 8, pp. 424–427.
Adams, H.P., Bendixen, B.H., Kappelle, L.J., et al., Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment, Stroke, 1993, vol. 24, pp. 35–41.
Iso, H., Sato, S., Kitamura, A., et al., The risk of ischemic heart disease and stroke among Japanese men and women, Stroke, 2007, vol. 38, pp. 1744–1751.
Kernan, W.N., Ovbiagele, B., Black, H.R., et al., Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association, Stroke, 2014, vol. 45, pp. 2160–2246.
Nobrega, T.C., Jaluul, O., Machado, A.N., et al., Quality of life and multimorbidity of elderly outpatients, Clinics (Sao Paulo), 2009, vol. 64, no. 1, pp. 45–50.
Saposnik, G., Cote, R., Phillips, S., et al., Stroke outcome in those over 80: a multicenter cohort study across Canada, Stroke, 2008, vol. 39, pp. 2310–2317.
Author information
Authors and Affiliations
Corresponding author
Additional information
Original Russian Text © E.S. Ostapchuk, V.S. Myakotnykh, 2017, published in Uspekhi Gerontologii, 2017, Vol. 30, No. 4, pp. 563–569.
Rights and permissions
About this article
Cite this article
Ostapchuk, E.S., Myakotnykh, V.S. Epidemiological, Clinical, and Pathogenic Features of Stroke at Elderly and Very Elderly Age. Adv Gerontol 8, 47–52 (2018). https://doi.org/10.1134/S2079057018010101
Published:
Issue Date:
DOI: https://doi.org/10.1134/S2079057018010101