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Master Thesis

Accident vasculaire cérébral ischémique du sujet jeune et consommation de toxiques

Abstract : Ischemic strokes (IS) remain a public health issue, especially in working age young adults, whose incidence is strong. About a third of these IS occurring in young adults remain of undetermined etiology, making secondary prevention inappropriate. Drug consumption could be the etiology for these young adults IS. Our 2-year prospective inclusion study objective was to determine the illegal drug consumption prevalence in patients with IS aged less than 55 years and the clinical and demographic characteristics of these drug abusing patients, due to a retrospective analysis. We showed a 13.6 percent prevalence for drug abuse in patients with IS aged less than 55 years, inversely linked to age, more important in patients under 45 years old. The most frequently used drug was cannabis (11.9%) and the second one, cocaine (5.9% in 18 to 35 year old patients), with a rate that seemed higher than in general population. Half of opiate-positive urinary test patients took known opiate therapeutics, and no patient used amphetamine. No drug use questioning was performed most often, linked to age. Illegal drug users were younger, all smokers and showed no statistical difference for common stroke risk factors, IS subtype, IS arterial territory, drug urinary test delay or thrombolysis rate. We think that it is mandatory to question IS patients on drug use until 55 years old. Drug urinary test delay should be shortened and these urinary test should be done only in IS patients under 45 years old, without searching for opiates.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00632694
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Submitted on : Friday, October 14, 2011 - 6:25:08 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
Long-term archiving on: : Sunday, January 15, 2012 - 2:25:22 AM

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  • HAL Id : dumas-00632694, version 1

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Marianne Barbieux. Accident vasculaire cérébral ischémique du sujet jeune et consommation de toxiques. Médecine humaine et pathologie. 2011. ⟨dumas-00632694⟩

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