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10.1186/s12883-015-0461-7

http://scihub22266oqcxt.onion/10.1186/s12883-015-0461-7
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C4625572!4625572!26515647
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suck abstract from ncbi


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pmid26515647      BMC+Neurol 2015 ; 15 (ä): ä
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  • Ethnic differences in ischemic stroke subtypes in young-onset stroke: the Stroke Prevention in Young Adults Study #MMPMID26515647
  • Trivedi MM; Ryan KA; Cole JW
  • BMC Neurol 2015[]; 15 (ä): ä PMID26515647show ga
  • Background: Prior studies indicate that young African-Americans (AA) have a greater frequency of ischemic stroke than similarly aged European-Americans (EA). We hypothesized that differences in stroke subtype frequency mediated through sex and differing risk factor profiles may play a role in ethnicity-specific stroke. Utilizing our biracial young-onset stroke population, we explored these relationships. Methods: Fifty nine hospitals in the Baltimore-Washington area participated in a population-based study of young-onset stroke in men (218-AA, 291-EA) and women (219-AA, 222-EA) aged 16?49. Data on age, sex, ethnicity and stroke risk factors (hypertension (HTN) and smoking) were gathered through standardized interview. A pair of vascular neurologists adjudicated each case to determine TOAST subtype. Logistic regression analyses evaluating for differences in stroke risk factors by TOAST subtype were performed. Results: Analyses controlling for age and sex demonstrated that AA were more likely to have a lacunar stroke than EA (OR?=?1.61; 95 % CI?=?1.12?2.32; p?=?0.011) when utilizing the other TOAST subtypes as the reference group. This effect was mediated by HTN, which increases the risk of lacunar stroke (OR?=?2.03; 95 % CI?=?1.38?2.98; p?=?0.0003) and large artery stroke (OR?=?1.70; 95 % CI?=?1.01?2.88; p?=?0.048) when controlling for sex, ethnicity, and age. Cases below age 40 were more likely to have a cardioembolic stroke than those above age 40 (OR?=?1.62; 95 % CI?=?1.15?2.27; p?=?0.006), controlling for sex and ethnicity. Lastly, current smokers were more likely to have a large artery stroke than non-smokers (OR?=?1.79; 95 % CI?=?1.08?2.98; p?=?0.024). Conclusions: Our population-based data demonstrate ethnic differences in ischemic stroke subtypes. These findings may help clarify mechanisms of stroke in young adults which may in part be driven by ethnic-specific differences in early-onset traditional risk factors, thereby indicating differing emphasis on workup and prevention.
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