Early strokes leave many young adults with long-lasting disability

One-third of people who survive a stroke before age 50 are unable to live independently or need assistance with daily activities 10 years after their stroke, according to research in the American Heart Association journal Stroke.

About 10 percent of strokes occur in 18- and 50-year-olds.

"Even if patients seem relatively well recovered with respect to motor function, there may still be immense 'invisible' damage that leads to loss of independence," said Frank-Erik de Leeuw, Ph.D., senior author of the study and associate professor of neurology at the Radboud University Nijmegen Medical Center in the Netherlands.

Researchers assessed the function of 722 people who had a first stroke when they were age 18-50. After an average follow-up of nine years, about one-third had at least moderate disability, requiring assistance for some activities. Many were also unable to conduct routine tasks independently, such as caring for themselves, doing household chores or looking after their finances.

Upon closer investigation, researchers found the rate of poor functional outcome and the ability to live independently varied by type of stroke:

  • After a transient ischemic attack (TIA, or 'mini-stroke'), 16.8 percent had functional disability and 10.8 percent had poor skills for independence.
  • After an , caused by a blood clot in the brain, 36.5 percent had functional disability and 14.6 were unable to live independently.
  • After a , caused by a brain bleed, 49.3 percent had functional disability and 18.2 percent didn't have the skills for independent living.

"Most doctors view young as a group with great recovery opportunities," de Leeuw said. "But our study is the first to show these almost life-long effects of stroke on performance. This is important to communicate right from the start to patients and families."

Patients fared worse if they experienced another stroke during the follow-up period. Of the 91 patients who did: 54.9 percent were at least moderately disabled, compared with 28.7 percent of those without a ; and 33.3 percent were dependent on others in activities of daily living, compared with 11.5 percent of those without a recurrent .

The researchers are investigating factors most responsible for poor functional outcome.

"We don't know if it's cognition, depression, problems in their families or relationships or other factors, but once we do, we can develop more effective interventions," de Leeuw said.

add to favorites email to friend print save as pdf

Related Stories

Sleep apnea common among stroke-related brainstem injuries

Feb 12, 2014

People whose brainstems are affected by their stroke have a significantly higher prevalence of sleep apnea than those who have stroke-related injury elsewhere in the brain, according to research presented at the American ...

Recommended for you

Use of drug-eluting stents may cut in-hospital mortality

13 hours ago

(HealthDay)—Use of drug-eluting stents (DES) rather than bare-metal stents (BMS) for percutaneous coronary intervention (PCI) is associated with lower rates of in-hospital mortality, according to research ...

Gel implant might help fight heart failure

13 hours ago

(HealthDay)—Injecting beads of gel into the wall of a still-beating heart has the potential to improve the health of patients with severe heart failure, according to a new study.

Obesity fuels silent heart damage

15 hours ago

Using an ultrasensitive blood test to detect the presence of a protein that heralds heart muscle injury, researchers from Johns Hopkins and elsewhere have found that obese people without overt heart disease ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.