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- W3031911293 abstract "Objective To investigate the clinical features,etiology and risk factors of the inpatients with ischemic stroke in the Department of Cardiology.Methods The medical records of the inpatients with ischemic stroke and the inpatients in a control group were collected retrospectively.The demographics,vascular risk factors,clinical features,and other related factors were compared in both groups.Multivariate logistic regression analysis was used to analyze the independent risk factors for in-hospital ischemic stroke in the Department of Cardiology.Results A total of 2 789 inpatients in departments of cardiology were enrolled,and 26 of them (0.93%) had in-hospital stroke.One hundred thirty inpatients from 2 763 patients without in-hospital stroke were used randomly as control cases.The proportions of the inpatients of hypertension (73.08% vs.50.77% ; x2=4.348,P=0.037),atrial fibrillation (50.00% vs.15.38%; x2=15.56,P=0.000),infection (30.77% vs.7.69% ; x2 =11.304,P =0.003),smoking (46.15% vs.21.54% ; x2 =6.886,P =0.009),alcohol (26.92% vs.11.54% ;x2 = 4.233,P =0.040),previous stroke history (19.23% vs.4.61% ;x2 =7.062,P =0.008),and taking anti-hypertensive drugs (42.31% vs.21.54% ;x2 =4.985,P =0.026),as well as systolic blood pressure (143.43 ± 18.59 mm Hgvs.129.52 ± 23.52 mm Hg; t =3.209,P=0.003; 1 mmHg =0.133 kPa),diastolic blood pressure (88.77± 11.35 mm Hg vs.77.55± 14.60 mmHg; t=2.421,P =0.020),and homocysteine levels (19.27 ± 11.08 μnol/L vs.15.30 ±5.25 μmol/L; t =2.814,P =0.006) in the stroke group were significantly higher than those in the control group in the Department of Cardiology.Multivariate logistic regression analysis showed that atrial fibrillation (odds ratio [OR] 3.310,95% confidence interval [CI] 1.207-9.076; P =0.020),infection (OR 3.270,95% CI 1.024-10.438; P =0.045),systolic blood pressure (OR 1.023,95% Cl 1.002-1.045; P =0.031),and homocysteine level (OR 1.089,95% CI 1.009-1.175; P =0.029) were the independent risk factors for in-hospital ischemic stroke in the Department of Cardiology.Conclusions Atrial fibrillation,infection,systolic blood pressure,and high homocysteine levels are the independent risk factor for in-hospital ischemic stroke in the Department of Cardiology.Active intervention and control these risk factors may have great significance for reducing its risk.Key words: Stroke; Brain Ischemia; Inpatients; Hospitalization; Atrial Fibrillation; Infection; Risk Factors" @default.
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- W3031911293 date "2013-09-15" @default.
- W3031911293 modified "2023-09-26" @default.
- W3031911293 title "Risk factors for in-hospital ischemic stroke in the Department of Cardiology: a retrospective case-control study" @default.
- W3031911293 doi "https://doi.org/10.3760/cma.j.issn.1673-4165.2013.09.002" @default.
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