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KMID : 0363320060270040905
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Journal of Korean Oriental Internal Medicine
2006 Volume.27 No. 4 p.905 ~ p.914
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A Study of Acute Stroke Patients (hospitalized at the oriental internal disease ward of Kyungwon University In-cheon Oriental Medical Hospital) according to the TOAST Classification (Trial of Org 10172 in Acute Stroke Treatment)
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Jung Ki-Yong
Go Ho-Yeon
Jeong Seung-Min
Hsia Yu-Chun
Jung Hee
Choi You-Kyung
Kim Dong-Woo
Han Chang-Ho
Cho Ki-Ho
Park Jong-Hyung
Jeon Chan-Yong
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Abstract
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Background and Purpose : The purpose of this study was to classify according to the TOAST classification (Trial of Org 10172 in Acute Stroke Treatment) acute stroke patients (first-ever stroke) treated at the Department of Internal Medicine of Kyungwon University In-cheon Oriental Medical Hospital.
Methods : In the time period Oct. 2005 to Oct. 2006. 101 patients with a first-ever stroke admitted to the Department of Internal Medicine of Kyungwon University In-cheon Oriental Medical Hospital were included. Patients were hospitalized within 14 days after the onset of stroke. They had neurological deficits for a time more than 24 hours. We classified patients according to the original TOAST classification (Trial of Org 10172 in Acute Stroke Treatment).
Results : The incidence in males was 54.4%, in females was 45.6%. Ischemic stroke (86.l%) was more common than hemorrhagic stroke (13.9%). The results of TOAST classification in this study were as follows: small-vessel occlusion, 72.4% large-artery atherosclerosis. 14.9 % cardioembolism, 4.6% stroke of other determined etiology, 4.6%: stroke of undetermined etiology, 3.5%. Patients in the small-vessel occlusion subgroup in this study were the most frequent. The result of this study is that Korean stroke registry is not in accordance with western medicine.
Conclusions : The TOAST classification system is the most widely accepted tool to categorize stroke subtypes in western medicine, but in oriental medicine, it is not yet widely accepted. The authors suggest the general use of the TOAST classification to determine adequate management for stroke patients, to predict the prognosis and recurrence of stroke and to develop a Korean standard of stroke in oriental medicine.
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KEYWORD
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acute stroke patients(first-ever stroke), TOAST classification
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