Mortality and long-term recurrence of ischaemic stroke in young adults of a northern Spanish region (Aragón)

• DOI: 10.1016/j.nrleng.2025.04.002
• Publication Date: 2025-04-08T16:26:23Z
• Authors: H. Tejada-Meza; Á. Lambea-Gil; B. Pardiñas-Barón; D. Sagarra-Mur; M. Viscasillas-Sa...; C. Moreno-Loscert...; C. Tejero-Juste; C. Pérez-Lázaro; J. Artal-Roy; O. Alberti-González; P. Ruiz-Palomino; N. Hernando-Quintana; I. Campello-Morer; Á. Giménez-Muñoz; M. Palacín-Larroy; C. García-Arguedas; L. Ballester-Marco; J. Marta-Moreno
• Keywords: Stroke

The incidence of ischemic stroke in young adults is increasing worldwide, and it not uncommon our region. It associated with the presence traditional vascular risk factors. However, there little information about its prognosis, unlike other age groups. objective this study to determine mortality, both short long term follow-up, long-term follow-up recurrence adult patients Aragon, making up first kind Spain, one few that addresses issue Europe. Multicenter, observational, retrospective all between 18 50 years old who were admitted for an any hospital Aragon 2005-2015. was carried out until March 31, 2021. Mortality, causes death cerebrovascular events collected, stratifying sample based on sex group patients. Logistic Cox regression models used factors mortality recurrence. 721 included (697 follow-up). Mortality 3.3% 30 days. Long-term 9.2% 11.9% at a median 10.1 follow-up. most frequent cause Neurovascular origin cancer. Having NIHSS > 15 higher short-term mortality. Arterial hypertension, diabetes mellitus, excessive alcohol consumption, atrial fibrillation peripheral disease A history previous stroke, atherothrombotic etiology cumulative although lower than described by studies, no means negligible