지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Objectives: The aim of this study was to determine distribution patterns of TOAST subtypes of ischemic stroke patients admitted to oriental hospitals and to get a better understanding of present conditions in oriental medicine by comparing with the Korea stroke registry (KSR), the largest and representative data.
Methods: Clinical data were collected from acute ischemic stoke patients. MRI studies including vascular images were performed in all cases. TOAST criteria were used to determine subtypes of ischemic stroke patients. According to the duration from disease onset to hospital admission time, patients were assigned to 3 groups (Group Ⅰ0 to 3 d, Group Ⅱ4 to 7 d, Group Ⅲ8 to 28 d) and the distribution of TOAST subtypes were compared among these three groups.
Results: We collected 514 sets of clinical data from 10 oriental hospitals between May 2007 and September 2009. Small vessel occlusion (SVO) subtype was the most common (57.62%), followed by large artery atherosclerosis (LAA, 29.98%). Compared with TOAST distribution of KSR, the proportion of ischemic stroke patients with SVO subtype was higher than that of KSR. On the other hand the proportion of patients with stroke of undetermined etiology (SUE) was lower. Distributions of SVO, LAA and cardioembolism (CE) in group Ⅰwere 66.4%, 23.8% and 8.9%, respectively; those in group Ⅲwere 51.03%, 34.71% and 11.57%, respectively.
Conclusions: In oriental hospitals, the proportion of ischemic stroke patients diagnosed as SVO type was higher than that of KSR. At early stage (from onset to 2 d) proportion of SVO was very high, however after 7 days from onset it decreased with concomitant increases in proportions of LAA and CE. These phenomena may be due to the facts that 1) at early stage emergency treatments are limited in oriental hospitals, 2) after early stage many patients prefer oriental treatments, including rehabilitation.
Methods: Clinical data were collected from acute ischemic stoke patients. MRI studies including vascular images were performed in all cases. TOAST criteria were used to determine subtypes of ischemic stroke patients. According to the duration from disease onset to hospital admission time, patients were assigned to 3 groups (Group Ⅰ0 to 3 d, Group Ⅱ4 to 7 d, Group Ⅲ8 to 28 d) and the distribution of TOAST subtypes were compared among these three groups.
Results: We collected 514 sets of clinical data from 10 oriental hospitals between May 2007 and September 2009. Small vessel occlusion (SVO) subtype was the most common (57.62%), followed by large artery atherosclerosis (LAA, 29.98%). Compared with TOAST distribution of KSR, the proportion of ischemic stroke patients with SVO subtype was higher than that of KSR. On the other hand the proportion of patients with stroke of undetermined etiology (SUE) was lower. Distributions of SVO, LAA and cardioembolism (CE) in group Ⅰwere 66.4%, 23.8% and 8.9%, respectively; those in group Ⅲwere 51.03%, 34.71% and 11.57%, respectively.
Conclusions: In oriental hospitals, the proportion of ischemic stroke patients diagnosed as SVO type was higher than that of KSR. At early stage (from onset to 2 d) proportion of SVO was very high, however after 7 days from onset it decreased with concomitant increases in proportions of LAA and CE. These phenomena may be due to the facts that 1) at early stage emergency treatments are limited in oriental hospitals, 2) after early stage many patients prefer oriental treatments, including rehabilitation.
목차
서론
대상 및 방법
연구결과
고찰
결론
감사의 글
참고문헌
참고문헌 (15)
참고문헌 신청
1. [단행본] - Kim HJ / 2007 / Cost-effectiveness Analysis of National Prevention Programs for Cardiovascular Diseases / Ministry of Health and welfare
2. [학술지(정기간행물)] - Lee LJ / 2000 / Impact on stroke subtype diagnosis of early diffusion-weighted magnetic resonance imaging and magnetic resonance angiography / Stroke 31 (5) : 1081 ~ 1089
3. [학술지(정기간행물)] - Lee BI / 2001 / Yonsei Stroke Team. Yonsei Stroke Registry. Analysis of 1,000 patients with acute cerebral infarctions / Cerebrovasc Dis 12 (3) : 145 ~ 151
4. [학술지(정기간행물)] - 유경호 / 2006 / 한국 뇌졸중 자료은행에 등록된 10,811명의 급성기 허혈성 뇌졸중 환자 분석: 병원기반 다의료기관 전향적 자료등록 연구 / 대한신경과학회지 24 (6) : 535 ~ 543
5. [학술지(정기간행물)] - Adams HP / 1993 / 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 24 : 35 ~ 41
2. [학술지(정기간행물)] - Lee LJ / 2000 / Impact on stroke subtype diagnosis of early diffusion-weighted magnetic resonance imaging and magnetic resonance angiography / Stroke 31 (5) : 1081 ~ 1089
3. [학술지(정기간행물)] - Lee BI / 2001 / Yonsei Stroke Team. Yonsei Stroke Registry. Analysis of 1,000 patients with acute cerebral infarctions / Cerebrovasc Dis 12 (3) : 145 ~ 151
4. [학술지(정기간행물)] - 유경호 / 2006 / 한국 뇌졸중 자료은행에 등록된 10,811명의 급성기 허혈성 뇌졸중 환자 분석: 병원기반 다의료기관 전향적 자료등록 연구 / 대한신경과학회지 24 (6) : 535 ~ 543
5. [학술지(정기간행물)] - Adams HP / 1993 / 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 24 : 35 ~ 41
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UCI(KEPA) : I410-ECN-0101-2014-519-000284625