Ischemic stroke epidemiology [Neurosurgery Wiki]

This page is read only. You can view the source, but not change it. Ask your administrator if you think this is wrong.
====== Ischemic stroke epidemiology ======

Approximately 15% of [[death]]s in a [[developed country]] are due to [[sudden cardiac arrest]], making it the most common cause of death worldwide. Though high-quality [[cardiopulmonary resuscitation]] has improved overall survival rates, the majority of survivors remain [[coma]]tose after return of spontaneous circulation secondary to hypoxic-[[ischemic brain injury]]. Since the advent of targeted temperature management, neurologic recovery has improved substantially, but the majority of patients are left with [[neurologic deficit]]s ranging from minor [[cognitive impairment]] to persistent [[coma]]. Of those who survive cardiac arrest, but die during their [[hospital]]ization, some progress to [[brain death]] and others die after withdrawal of life-sustaining treatment due to anticipated poor neurologic [[prognosis]]
((Carroll E, Lewis A. Neuroprognostication after Cardiac Arrest: Who Recovers? Who Progresses to Brain Death? Semin Neurol. 2021 Oct;41(5):606-618. doi: 10.1055/s-0041-1733789. Epub 2021 Oct 7. PMID: 34619784.)).
----


[[Ischemic stroke]] is a leading cause of [[mortality]] and [[morbidity]] worldwide, and [[atherosclerosis]] is one of the major risk factors for this neurologic deficit.
----
Only 3% of ischemic strokes occur in patients < 40 yrs of age
((Hart RG, Miller VT. Cerebral Infarction in Young
Adults: A Practical Approach. Stroke. 1983; 14:110–
114)).
Over 10% of ischemic strokes occur in patients ≤ 55 yrs
((You RX, McNeil JJ, O'Malley HM, et al. Risk factors
for stroke due to cerebral infarction in young adults.
Stroke. 1997; 28:1913–1918)).

Incidence: 10 per 100,000 persons age 35–44 yrs,22 73 per 100,000 for age < 55
yrs
((You RX, McNeil JJ, O'Malley HM, et al. Risk factors
for stroke due to cerebral infarction in young adults.
Stroke. 1997; 28:1913–1918)).