Current status and risk factors of high-risk populations for stroke among elderly patients with hypertension in Fuyang District,Hangzhou City
Objective To investigatethe current status of high-risk populations for stroke and exposure to associated risk factors among elderly patients with hypertension.Methods A total of 14 171 patients with hypertension at ages of 60 years and older were sampled using a systematic sampling method from Fuyang District,Hangzhou City from May to September,2020.Populations at a high risk for stroke were screened through questionnaire surveys,collection of medical history and physical examinations.Results The detection of high-risk stroke was 47.27％among elderly patients with hypertension at ages of 60 years and older,and the detection was higher among men than among women(51.69％vs.43.59％;x2=92.49,P＜0.01),and higher in urban areas than in rural areas(49.26％vs.46.20;x2=12.09,P＜0.01).The five most frequently exposed risk factors of stroke included sport exercises(52.05％),dyslipidemia(39.81％),remarkable overweight(35.99％),diabetes(35.27％)and smoking(26.24％)among elderly patients with hypertension.Smoking was the most frequently exposed risk factor among men(50.69％),and lack of exercises was the most frequently exposed risk factor among women(55.30％).In addition to hypertension,there were 33.71％of high-risk populations for stroke with 4 and more risk factors,and the highest detection was seen for co-existence of hypertension,lack of exercises and remarkable overweight among high-risk populations for stroke(5.75％).Conclusions The detection of high-risk populations for strokeis high among elderly patient with hypertension,and the detection of abnormal carotid artery is high among high-risk populations for stroke.The presence of two and more risk factors is high,and complex in co-existence.Targeted comprehensive interventions are required as soon as possible to prevent the development of stroke.
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