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KMID : 0363320090300040696
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Journal of Korean Oriental Internal Medicine
2009 Volume.30 No. 4 p.696 ~ p.707
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Cross-sectional and Comparative Study between First Attack and Reattack Groups in Acute Stroke Patients - Multi-Center Trials
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Lee In-Whan
Gwak Ja-Young
Cho Seung-Yeon
Shin Ae-Sook
Kim Na-Hee
Kim Hye-Mi
Na Byong-Jo
Park Seong-Uk
Jung Woo-Sang
Moon Sang-Kwan
Park Jung-Mi
Ko Chang-Nam
Cho Ki-Ho
Kim Young-Suk
Bae Hyung-Sup
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Abstract
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Objective: We designed this study to investigate differences between stroke reattack and stroke first attack group to establish fundamental data and prevent a secondary stroke.
Methods: 826 subjects were recruited from the patients admitted to the department of internal medicine at Kyung Hee University Oriental Medical Center, Kyung Hee University East-West Neo Medical Center, Kyungwon University Incheon Oriental Medical Center, Kyungwon University Songpa Oriental Medical Center and Dongguk University Ilsan Oriental Medical Center from 1 April 2007 to 31 August 2009. We compared general characteristics, classification of diagnosis, subtypes of cerebral infarction, risk factors, Sasang constitution, diagnostic classifications between stroke reattck and stroke first attack groups.
Results: 1. In general characteristics, age differed significantly between the reattck and first attack groups. 2. Classification of diagnosis differed significantly between reattck and first attack groups. 3. In risk factors, hypertension, diabetes mellitus, alcohol drinking, and stress were significantly different between reattck and first attack groups. 4. Diagnostic classifications were significantly different between reattck and first attack groups.
Conclusion: To prevent recurrence of stroke, education on stroke risk factors associated with recurrence is needed. In addition, those who are diagnosed as Dampness-Phlegm need to be well-controlled.
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KEYWORD
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Recurrence, Reattack, Risk factors, Sasang constitution, diagnostic classifications
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