Clinics of Neurology

 Ischemic Stroke in Young Patients: Prevalence and Comorbidities in the 18 to 45 Age Group

Correspondence to Author: Debora González García1 , Jose Andres Jimenez Sanchez1 , Enrique Villarreal Ríos2 , Miguel Ángel González Casas3 .. 

1. Department of Internal Medicine, Hospital General Regional No.1 Querétaro, Instituto Mexicano del Seguro Social.
2. Unit of Epidemiological Research and Health Services, Querétaro, Instituto Mexicano del Seguro Social.
3. Department of Neurology, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Saltillo, Coah. México.

DOI: 10.52338/conr.2025.4928

Abstract:

Objective: To determine the prevalence of the 18 to 45 age group among patients who experienced an ischemic cerebrovascular accident (CVA)
Methodology: A descriptive cross-sectional study of patient records who experienced an ischemic cerebrovascular event, confirmed by a simple cranial tomography. The entire universe of cases from 2022 and 2023 (n=205) was analyzed. Variables studied included sex, age, type of comorbidities, number of comorbidities, grouping of comorbidities, and habits; the statistical analysis included percentages, confidence intervals for percentages, means, and confidence intervals for means.
Results:The prevalence of the 18 to 45 age group that experienced an ischemic stroke relative to the total number of ischemic cerebrovascular accident across all age groups in 2022-2023 was 13.7% (95% CI; 8.9-18.3). Among patients aged 18 to 45 who experienced an ischemic cerebrovascular accident, the most prevalent comorbidity was systemic arterial hypertension at 26.9% (95% CI; 8.6-45.1), with obesity identified at the same prevalence. The 50% (95% CI; 30.8-69.2) of patients aged 18 to 45 who experienced an ischemic stroke reported no history of comorbidity, and 30.8% (95% CI; 13.1-48.5) reported two comorbidities.
Conclusion: The prevalence of the 18 to 45 age group identified here could be considered high; however, it is important to recognize that cerebrovascular events are typically a condition of the elderly. Therefore, the reported prevalence of 13.7% is notable for its socioeconomic impact.

Keywords: prevalence, stroke, cerebral ischemia.

Citation:

Dr.Debora González García, Ischemic Stroke in Young Patients: Prevalence and Comorbidities in the 18 to 45 Age Group. Clinics of Neurology 2025.

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