The related causes in very early morning onset of stroke
We investigated the influence of early awakening and related factors on onset of cerebrovascular disease (CVD). Totally 1199 stroke patients, in whom the onset time was known, at 3 reference hospitals were included in this study. The effects of demographic, medical, and pathophysiological factors on...
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| Veröffentlicht in: | Progress in neuro-psychopharmacology & biological psychiatry 2005-07, Vol.29 (6), p.983-988 |
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| creator | Kocer, Abdulkadir Ilhan, Atilla Ince, Nurhan Bilge, Cevdet |
| description | We investigated the influence of early awakening and related factors on onset of cerebrovascular disease (CVD). Totally 1199 stroke patients, in whom the onset time was known, at 3 reference hospitals were included in this study. The effects of demographic, medical, and pathophysiological factors on the circadian pattern of an unselected series of patients with ischemic stroke were analyzed. Nine-hundred seventeen CVD patients with cerebral infarction (CI), 240 patients with intracerebral hemorrhage (CH), and 42 patients with subarachnoid hemorrhage (SAH) were identified. The greatest portion of strokes (32.5%) occurred between 03:00 and 06:00 a.m. Nearly one half of the strokes in this series occurred in the very early- to mid-morning hours. This analysis of strokes provides strong evidence with a higher risk in the early morning hours (03:00 a.m. to 06:00 a.m.), and lower risk during the night time period (21:00 p.m. to midnight). Approximately 1 of every 3 strokes (1 of 3 ischemic strokes, 1 of 6 hemorrhagic strokes, and 1 of 8 subarachnoid hemorrhages) is attributable to the early morning excess. This difference tried to be explained by three ways: cold weather, religious factors, and physiological mechanisms. |
| doi_str_mv | 10.1016/j.pnpbp.2005.06.005 |
| format | Article |
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Totally 1199 stroke patients, in whom the onset time was known, at 3 reference hospitals were included in this study. The effects of demographic, medical, and pathophysiological factors on the circadian pattern of an unselected series of patients with ischemic stroke were analyzed. Nine-hundred seventeen CVD patients with cerebral infarction (CI), 240 patients with intracerebral hemorrhage (CH), and 42 patients with subarachnoid hemorrhage (SAH) were identified. The greatest portion of strokes (32.5%) occurred between 03:00 and 06:00 a.m. Nearly one half of the strokes in this series occurred in the very early- to mid-morning hours. This analysis of strokes provides strong evidence with a higher risk in the early morning hours (03:00 a.m. to 06:00 a.m.), and lower risk during the night time period (21:00 p.m. to midnight). Approximately 1 of every 3 strokes (1 of 3 ischemic strokes, 1 of 6 hemorrhagic strokes, and 1 of 8 subarachnoid hemorrhages) is attributable to the early morning excess. This difference tried to be explained by three ways: cold weather, religious factors, and physiological mechanisms.</description><identifier>ISSN: 0278-5846</identifier><identifier>EISSN: 1878-4216</identifier><identifier>DOI: 10.1016/j.pnpbp.2005.06.005</identifier><identifier>PMID: 16019118</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cerebral Infarction - physiopathology ; Chi-Square Distribution ; Circadian rhythm ; Circadian Rhythm - physiology ; Demography ; Early morning ; Female ; Humans ; Ischemia ; Male ; Middle Aged ; Stroke - physiopathology ; Stroke onset ; Subarachnoid Hemorrhage - physiopathology ; Time Factors</subject><ispartof>Progress in neuro-psychopharmacology & biological psychiatry, 2005-07, Vol.29 (6), p.983-988</ispartof><rights>2005 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c454t-e43c01a7caa64628bf2063bed72e4a70b4db7a2d6fc19b5d972f8909bcb3d2383</citedby><cites>FETCH-LOGICAL-c454t-e43c01a7caa64628bf2063bed72e4a70b4db7a2d6fc19b5d972f8909bcb3d2383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pnpbp.2005.06.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16019118$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kocer, Abdulkadir</creatorcontrib><creatorcontrib>Ilhan, Atilla</creatorcontrib><creatorcontrib>Ince, Nurhan</creatorcontrib><creatorcontrib>Bilge, Cevdet</creatorcontrib><title>The related causes in very early morning onset of stroke</title><title>Progress in neuro-psychopharmacology & biological psychiatry</title><addtitle>Prog Neuropsychopharmacol Biol Psychiatry</addtitle><description>We investigated the influence of early awakening and related factors on onset of cerebrovascular disease (CVD). Totally 1199 stroke patients, in whom the onset time was known, at 3 reference hospitals were included in this study. The effects of demographic, medical, and pathophysiological factors on the circadian pattern of an unselected series of patients with ischemic stroke were analyzed. Nine-hundred seventeen CVD patients with cerebral infarction (CI), 240 patients with intracerebral hemorrhage (CH), and 42 patients with subarachnoid hemorrhage (SAH) were identified. The greatest portion of strokes (32.5%) occurred between 03:00 and 06:00 a.m. Nearly one half of the strokes in this series occurred in the very early- to mid-morning hours. This analysis of strokes provides strong evidence with a higher risk in the early morning hours (03:00 a.m. to 06:00 a.m.), and lower risk during the night time period (21:00 p.m. to midnight). Approximately 1 of every 3 strokes (1 of 3 ischemic strokes, 1 of 6 hemorrhagic strokes, and 1 of 8 subarachnoid hemorrhages) is attributable to the early morning excess. This difference tried to be explained by three ways: cold weather, religious factors, and physiological mechanisms.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cerebral Infarction - physiopathology</subject><subject>Chi-Square Distribution</subject><subject>Circadian rhythm</subject><subject>Circadian Rhythm - physiology</subject><subject>Demography</subject><subject>Early morning</subject><subject>Female</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Stroke - physiopathology</subject><subject>Stroke onset</subject><subject>Subarachnoid Hemorrhage - physiopathology</subject><subject>Time Factors</subject><issn>0278-5846</issn><issn>1878-4216</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDtPwzAUhS0EoqXwC5CQJ7aEa8dxnIEBIV5SJZYyW37cQEqaBDut1H9PSiuxwXTu8J1zpY-QSwYpAyZvlmnf9rZPOUCegkzHOCJTpgqVCM7kMZkCH-9cCTkhZzEuAYBlkJ2SCZPASsbUlKjFB9KAjRnQU2fWESOtW7rBsKVoQrOlqy60dftOuzbiQLuKxiF0n3hOTirTRLw45Iy8PT4s7p-T-evTy_3dPHEiF0OCInPATOGMkUJyZSsOMrPoC47CFGCFt4XhXlaOlTb3ZcErVUJpnc08z1Q2I9f73T50X2uMg17V0WHTmBa7ddRSCaFE_j_IQakiz_MRzPagC12MASvdh3plwlYz0Duzeql_zOqdWQ1SjzG2rg7za7tC_9s5qByB2z2Ao41NjUFHV2Pr0NcB3aB9V__54BvzMoph</recordid><startdate>20050701</startdate><enddate>20050701</enddate><creator>Kocer, Abdulkadir</creator><creator>Ilhan, Atilla</creator><creator>Ince, Nurhan</creator><creator>Bilge, Cevdet</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20050701</creationdate><title>The related causes in very early morning onset of stroke</title><author>Kocer, Abdulkadir ; Ilhan, Atilla ; Ince, Nurhan ; Bilge, Cevdet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c454t-e43c01a7caa64628bf2063bed72e4a70b4db7a2d6fc19b5d972f8909bcb3d2383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cerebral Infarction - physiopathology</topic><topic>Chi-Square Distribution</topic><topic>Circadian rhythm</topic><topic>Circadian Rhythm - physiology</topic><topic>Demography</topic><topic>Early morning</topic><topic>Female</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Stroke - physiopathology</topic><topic>Stroke onset</topic><topic>Subarachnoid Hemorrhage - physiopathology</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kocer, Abdulkadir</creatorcontrib><creatorcontrib>Ilhan, Atilla</creatorcontrib><creatorcontrib>Ince, Nurhan</creatorcontrib><creatorcontrib>Bilge, Cevdet</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Progress in neuro-psychopharmacology & biological psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kocer, Abdulkadir</au><au>Ilhan, Atilla</au><au>Ince, Nurhan</au><au>Bilge, Cevdet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The related causes in very early morning onset of stroke</atitle><jtitle>Progress in neuro-psychopharmacology & biological psychiatry</jtitle><addtitle>Prog Neuropsychopharmacol Biol Psychiatry</addtitle><date>2005-07-01</date><risdate>2005</risdate><volume>29</volume><issue>6</issue><spage>983</spage><epage>988</epage><pages>983-988</pages><issn>0278-5846</issn><eissn>1878-4216</eissn><abstract>We investigated the influence of early awakening and related factors on onset of cerebrovascular disease (CVD). Totally 1199 stroke patients, in whom the onset time was known, at 3 reference hospitals were included in this study. The effects of demographic, medical, and pathophysiological factors on the circadian pattern of an unselected series of patients with ischemic stroke were analyzed. Nine-hundred seventeen CVD patients with cerebral infarction (CI), 240 patients with intracerebral hemorrhage (CH), and 42 patients with subarachnoid hemorrhage (SAH) were identified. The greatest portion of strokes (32.5%) occurred between 03:00 and 06:00 a.m. Nearly one half of the strokes in this series occurred in the very early- to mid-morning hours. This analysis of strokes provides strong evidence with a higher risk in the early morning hours (03:00 a.m. to 06:00 a.m.), and lower risk during the night time period (21:00 p.m. to midnight). Approximately 1 of every 3 strokes (1 of 3 ischemic strokes, 1 of 6 hemorrhagic strokes, and 1 of 8 subarachnoid hemorrhages) is attributable to the early morning excess. This difference tried to be explained by three ways: cold weather, religious factors, and physiological mechanisms.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>16019118</pmid><doi>10.1016/j.pnpbp.2005.06.005</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Aged Aged, 80 and over Cerebral Infarction - physiopathology Chi-Square Distribution Circadian rhythm Circadian Rhythm - physiology Demography Early morning Female Humans Ischemia Male Middle Aged Stroke - physiopathology Stroke onset Subarachnoid Hemorrhage - physiopathology Time Factors |
| title | The related causes in very early morning onset of stroke |
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