Epidemiological, Clinical, and Pathogenic Features of Stroke at Elderly and Very Elderly Age

Abstract

A comparative investigation of the epidemiological, clinical, and pathogenetic indices of cerebral stroke in 1153 representatives of different age has been conducted. The prevalence of the incidence of strokes among women of elderly and very elderly age is largely due to the higher life expectancy of women compared to men. A significant number of intracerebral blood effusions in elderly and very elderly age can arise secondarily after ischemic focus formation of the type of “red softening.” This, to a certain extent, can be explained by the high frequency of somatic complications of stroke, disorders of consciousness, and high mortality among persons older than 60 years compared to younger people. Less positive clinical outcomes of stroke at elderly and very elderly age, even when increasing the length of their hospital stay, may indicate shortcomings in the existing standards of diagnostics and treatment in people with a combination of background pathologies in stroke completely different from that of the young individuals.