CLINICAL AND PARACLINICAL CHARACTERISTICS AND TREATMENT OUTCOMES OF ELDERLY PATIENTS WITH ISCHEMIC STROKE AT THONG NHAT HOSPITAL

Nguyễn Thị Phương Nga 1 , Nguyễn Phạm Hoàng Long 1 , , Trần Thị Hồng Nhung 1
1 Thong Nhat Hospital image/svg+xml
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DOI
10.63947/bvtn.v2i8.8
Published
2026-06-07
Issue Vol. 2 No. 8 (2026): Geriatric Medicine in the Era of Personalization, Technology, and Prevention
Section
Original Research
Categories
Research

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1.
Thị Phương Nga N, Phạm Hoàng Long N, Thị Hồng Nhung T. CLINICAL AND PARACLINICAL CHARACTERISTICS AND TREATMENT OUTCOMES OF ELDERLY PATIENTS WITH ISCHEMIC STROKE AT THONG NHAT HOSPITAL. JHA [Internet]. Vietnam; 2026 Jun. 7 [cited 2026 Jun. 18];2(8):59–64. https://tcsuckhoelaohoa.vn/bvtn/article/view/212 doi: 10.63947/bvtn.v2i8.8
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Abstract

This study aimed to characterize the clinical, paraclinical, and therapeutic features of ischemic stroke in patients aged 60 years and older treated at Thong Nhat Hospital. A prospective descriptive design was applied to 242 patients aged ≥60 years who were admitted with acute ischemic stroke to the Department of Neurology, Thong Nhat Hospital, between February and August 2025. The median age of the cohort was 71 years (69 years in males and 76 years in females). Males accounted for 63,4% of the sample. Hypertension was the most prevalent risk factor, present in 75,6% of patients, followed by diabetes mellitus and dyslipidemia, while atrial fibrillation was rare. The mean LDL-cholesterol level was 117,9 ± 50,7 mg/dl. At admission, low NIHSS scores (0–5) were observed in 58,8% of males and 57,3% of females. Favorable recovery (low NIHSS scores) after treatment was achieved in 80,4% of males and 64% of females. Female sex is associated with poorer treatment outcomes. The rate of reperfusion therapy was 21,1%. Among identifiable etiologies, small vessel disease was the most common, accounting for 26,4%. However, 47,9% of patients had undetermined causes. Ischemic stroke patients aged ≥60 years at Thong Nhat Hospital exhibit characteristics consistent with global trends, while also presenting distinctive features regarding risk factors and etiologies.

Keywords

stroke among older adults stroke risk factors Acute ischemic stroke

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© 2026 The Author(s). Published by Journal of Health and Aging.

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