Identifying risk factors for recurrent mild ischemic stroke and high-risk population characteristics: A 1-year follow-up study

Objective This observational study examined the risk factors associated with recurrence in patients with mild ischemic stroke and determined the characteristics of high-risk groups. Methods A total of 656 patients hospitalized for mild ischemic stroke were monitored for 1 year. Statistical analyses,...

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Main Authors: Shangmeng Huang, Zhengyu Wu, Wenbin Lan, Junqing Huang, Huijuan Wan, Dewen Wang, Jin Han Chen
Format: Article
Language:English
Published: SAGE Publishing 2025-04-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605251332585
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author Shangmeng Huang
Zhengyu Wu
Wenbin Lan
Junqing Huang
Huijuan Wan
Dewen Wang
Jin Han Chen
author_facet Shangmeng Huang
Zhengyu Wu
Wenbin Lan
Junqing Huang
Huijuan Wan
Dewen Wang
Jin Han Chen
author_sort Shangmeng Huang
collection DOAJ
description Objective This observational study examined the risk factors associated with recurrence in patients with mild ischemic stroke and determined the characteristics of high-risk groups. Methods A total of 656 patients hospitalized for mild ischemic stroke were monitored for 1 year. Statistical analyses, including odds ratio calculations and K-means clustering, were conducted to examine risk factors for recurrence and the characteristics of high-risk groups. Results After 1 year of follow-up, 99 patients experienced recurrent mild ischemic stroke, resulting in a recurrence rate of 15.09%. The analysis revealed several significant risk factors, including type 2 diabetes mellitus, atrial fibrillation, smoking and alcohol consumption, carotid artery stenosis, cerebral vascular stenosis, and multiple lesions. Propensity score matching confirmed these associations, and K-means clustering revealed that older males with type 2 diabetes mellitus and hypertension were likely to be in the high-risk group. Conclusions Healthcare professionals should focus on tailored treatment and prevention strategies for high-risk patients, prioritizing the management of the abovementioned risk factors to reduce recurrence and improve outcomes.
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spelling doaj-art-382e23981abc4fb0bf7fc52e19df3d672025-08-20T02:56:02ZengSAGE PublishingJournal of International Medical Research1473-23002025-04-015310.1177/03000605251332585Identifying risk factors for recurrent mild ischemic stroke and high-risk population characteristics: A 1-year follow-up studyShangmeng HuangZhengyu WuWenbin LanJunqing HuangHuijuan WanDewen WangJin Han ChenObjective This observational study examined the risk factors associated with recurrence in patients with mild ischemic stroke and determined the characteristics of high-risk groups. Methods A total of 656 patients hospitalized for mild ischemic stroke were monitored for 1 year. Statistical analyses, including odds ratio calculations and K-means clustering, were conducted to examine risk factors for recurrence and the characteristics of high-risk groups. Results After 1 year of follow-up, 99 patients experienced recurrent mild ischemic stroke, resulting in a recurrence rate of 15.09%. The analysis revealed several significant risk factors, including type 2 diabetes mellitus, atrial fibrillation, smoking and alcohol consumption, carotid artery stenosis, cerebral vascular stenosis, and multiple lesions. Propensity score matching confirmed these associations, and K-means clustering revealed that older males with type 2 diabetes mellitus and hypertension were likely to be in the high-risk group. Conclusions Healthcare professionals should focus on tailored treatment and prevention strategies for high-risk patients, prioritizing the management of the abovementioned risk factors to reduce recurrence and improve outcomes.https://doi.org/10.1177/03000605251332585
spellingShingle Shangmeng Huang
Zhengyu Wu
Wenbin Lan
Junqing Huang
Huijuan Wan
Dewen Wang
Jin Han Chen
Identifying risk factors for recurrent mild ischemic stroke and high-risk population characteristics: A 1-year follow-up study
Journal of International Medical Research
title Identifying risk factors for recurrent mild ischemic stroke and high-risk population characteristics: A 1-year follow-up study
title_full Identifying risk factors for recurrent mild ischemic stroke and high-risk population characteristics: A 1-year follow-up study
title_fullStr Identifying risk factors for recurrent mild ischemic stroke and high-risk population characteristics: A 1-year follow-up study
title_full_unstemmed Identifying risk factors for recurrent mild ischemic stroke and high-risk population characteristics: A 1-year follow-up study
title_short Identifying risk factors for recurrent mild ischemic stroke and high-risk population characteristics: A 1-year follow-up study
title_sort identifying risk factors for recurrent mild ischemic stroke and high risk population characteristics a 1 year follow up study
url https://doi.org/10.1177/03000605251332585
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