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. 2010 Dec 20:2011:879817.
doi: 10.4061/2011/879817.

Long-term prognosis of ischemic stroke in young adults

Jose F Varona  1
Affiliations

Long-term prognosis of ischemic stroke in young adults

Jose F Varona. Stroke Res Treat. .

Abstract

There is limited information about long-term prognosis of ischemic stroke in young adults. Giving the potentially negative impact in physical, social, and emotional aspects of an ischemic stroke in young people, providing early accurate long-term prognostic information is very important in this clinical setting. Moreover, detection of factors associated with bad outcomes (death, recurrence, moderate-to-severe disability) help physicians in optimizing secondary prevention strategies. The present paper reviews the most relevant published information concerning long-term prognosis and predictors of unfavorable outcomes of ischemic stroke affecting young adults. As a summary, we can conclude that, in the long term, stroke in the young adult increases slightly the risk of mortality, implies higher risk of future cardiovascular events, and determines functional limitations in a significant percentage of patients. Nevertheless, in every individual case the prognosis has to be considered depending on several factors (stroke subtype, initial severity, cardiovascular risk factors) that determine the long-term outcomes.

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Figures

Figure 1
Figure 1
Graph showing a comparative approximation of the different probabilities of survival at 10 years in young adult patients (15–45 years) with ischemic stroke and the general population aged 15–45 years. (based on data of study of Varona et al. [12]).
Figure 2
Figure 2
Functional outcome after long-term followup of young adults with ischemic stroke (number of patients: 240; mean followup time: 11.7 years), based on data of study of Varona et al. [12].
See this image and copyright information in PMC

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