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Cerebro-Vascular Pathology of Elderly diabetics 72 case-studies

Cerebro-Vascular Pathology of Elderly diabetics 72 case-studies. S. Hannat - R. Chermat - R. Malek Internal Medical Service University Hospital Centre Setif Algeria Malta, April 23–26, 2009. Introduction. Stroke affects more than 700,000 individuals each year.

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Cerebro-Vascular Pathology of Elderly diabetics 72 case-studies

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  1. Cerebro-Vascular Pathology of Elderly diabetics72 case-studies S. Hannat - R. Chermat - R. Malek Internal Medical Service University Hospital Centre Setif Algeria Malta, April 23–26, 2009

  2. Introduction Stroke affects more than 700,000 individuals each year. it is the third largest cause of death and the largest cause of adult disability in the U.S A (1). Diabetes is clearly one of the most important risk factors for ischemic stroke(2). Diabetes is associated with an increased incidence of stroke and death among elderly people (3) (1)Stroke. 2008;39:1142-1147. (2) Diabetes Care30:3131-3140, 2007 (3) Journal of Gerontology 2004, Vol. 59A, No. 6, 640–645

  3. Objectives Estimate the incidence of stroke among hospitalized diabetics. Analyze the type and the progression of the stroke Characteristics of the elderly patient

  4. Patients and Methodology Retrospective study Target population: elderly diabetics Duration: 3 years Parameters studied: - age, gender, onset of diabetes, lipid check up, HbA1c - Check up of complications - Associeted causes of morbidity

  5. Number of stroke among elderly diabetics / Total number of hospitalized diabetics 803 72 9% ±1,96 (95% CI 7,04 to 10,96)

  6. Number of stroke among elderly diabetics / Total number of stroke 157 72 46% ± 7,78 (95% CI 54 to 38) Total number of stroke Number of stroke among elderly diabetics

  7. Distribution by genderBlood glucose control on admission Total number of stroke 72 HbA1c % < 7% 9 % >7% et < 10 % 46% > 10% 45 % 24 Men Woman 48 Ratio 1M / 2W Averrage lenght of the evolution of diabetes : 10 years ± 3,76 years

  8. Distribution by age range Elderly adult : WHO > 65 years « Young-old » 65 - 74 years « Middle-old» 75 - 84 years « Old-old» over 85 years Woman Men (y)

  9. Type of stroke Short Term Progress 13% 73,6% 19,4% 6,94% 87% haemorrhagic ischemic

  10. Associated cardio-vasculars risk factors 85% 34,4% 7% 10% 3%

  11. Comments Stroke is common in elderly diabetics. 9 % hospitalized diabetics had stroke. 46% of all stroke victims are elderly diabetics A majority of stroke victims are women (gender ratio 0,5). The highest frequency of stroke victims is in the 65-74 years age range.

  12. Comments The onset of type II diabetes as well as chronic imbalance could be risk factors in the occurance of a complication. Ischemic stroke is the predominant type. The risk is usually higher among hypertensive elderly diabetics with atrial fibrillation or previous stroke. Immediate progress : High mortality rate (20% of cases).

  13. Conclusion The risk of ischemic stroke is higher among elderly diabetics. L’HTA , atrial fibrilation , chronic métabolit imbalance, previous stroke incidents are determining factors This complication has a hight probality of resuiting in disability or death.

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