Background and purpose
About 10- 15%of all ischemic strokes occur in young adults ,limited researches have specifically addressed stroke in the young, also, the etiology of ischemic stroke in the young are heterogeneous and can be relatively uncommon the purpose is to identify different risk factors of stroke in young and elderly and predictors of in hospital mortality
patient and method consecutive 197 patient with acute ischemic stroke admitted to neurology department, Sohag university hospital subdivided into two groups according to the age and the cut of point between young and elderly is 50-year, clinical characteristics, risk factors and hospital mortality was compared in both groups
Results
The prevalence of Rheumatic heart disease is common in ischemic stroke in young adult than elderly while hypertension is the most prevalence vascular risk factor, Charlson comorbidity index is independent predictor of hospital mortality of ischemic stroke in elderly
conclusion
Rheumatic heart disease still prevalent in young adult in a sample of Egyptian population, hypertension is the most important modifiable risk factor Charlson comorbidity index and Scandinavian stroke scale on admission are predictors of hospital mortality in elderly and young adult respectively