ISCHEMIC STROKE IN ELDERLY PEOPLE DEPENDING ON ETHNICITY AND GENDER

The relevance of the problem of cerebral stroke remains due to the high prevalence according to WHO data. The aim of the research was to study the ethnic and gender characteristics of the course of ischemic stroke in elderly people. A study was carried out at the Regional Vascular Center of the Republic’s Hospital No. 2 in 154 patients aged 75-89 years with ischemic stroke, which were divided into groups by ethnicity and gender. Most of the patients, regardless of their ethnicity and gender, were admitted from home. The analysis of the time of admission of the patients to the hospital was carried out. Among those arriving after 12 hours since first symptoms, there were more men. Cardioembolic stroke was more common among ethnic Russians. A stroke of another type was more common in men. An improvement in the level of consciousness was observed only among the Yakuts. The examination was carried out according to the NIHSS, Glasgow Coma Scale, and Rankin scale. The severity of focal neurological symptoms according to the NIHSS in both Yakuts and Russians decreased at the end of treatment, and a significant regression of focal symptoms was also observed in women and men. On the Rankin scale, there was good functional recovery in patients of both ethnic and gender groups. The level of consciousness on the Glasgow scale improved significantly among the Yakuts, while among the Russians - slightly. A significant improvement in the level of consciousness was also observed in women and men. In addition, there was a positive correlation between the NIHSS and Rankin scale and a negative correlation between the Glasgow scale and the number of inpatient days spent. The patients who had the highest score (5.0) on the Rankin scale upon admission were fatal. Thus, in our study, ethnic differences were observed in the incidence of cardioembolic stroke and in the improvement in the level of consciousness. There were gender differences in the incidence of another type of stroke, which was more common in men, and in the time of hospitalization, men were admitted later. The NIHSS and Rankin scale are the most appropriate tool for predicting mortality in patients with ischemic stroke in old age.

ethnicity, gender, senile age, ischemic stroke, types of strokes, NIHSS, Glasgow Coma Scale, Rankine scale, delivery profile, time hospitalization

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