Research Article

Characteristics and Outcomes of Younger Adults with Embolic Stroke of Undetermined Source (ESUS): A Retrospective Study

Table 1

Demographic and clinical characteristics of younger (≤50 years) versus older (>50 years) patients with embolic stroke of undetermined source (ESUS).

CharacteristicOlder with ESUS ()Younger with ESUS ()-value

Age (years). Mean ± SD63.9 ± 8.242.9 ± 7.7<0.0001

Female sex. No. (%)39 (36.11)11 (28.2)0.4

Medical history. No. (%)
   Ischaemic heart disease8 (7.4)2 (5.1)1.0
   Arterial hypertension76 (70.3)17 (43.6)0.004
   Diabetes mellitus62 (57.4)14 (35.9)0.03
   Dyslipidaemia31 (28.7)5 (12.8)0.05
   Body mass index (BMI). Mean ± SD27.8 ± 6.628.7 ± 5.90.2
   History of smoking15 (13.9)8 (20.5)0.3
   Previous ischaemic stroke or TIA24 (22.2)5 (12.8)0.2

Pre-stroke mRS (0–1). No. (%)95 (87.9)37 (94.9)0.36
NIHSS score on admission. Median (IQR)5.0 (8.0)3.0 (9.0)0.8

Treatment with t-PA or EVT. No. (%)5 (4.6)4 (10.3)0.2

ESUS, embolic stroke of undetermined source; EVT, endovascular thrombectomy; IQR, interquartile range; mRS, modified rankin scale; NIHSS, national institutes of health stroke scale; TIA, transient ischaemic attack; t-PA, tissue plasminogen activator. mRS scores range from 0 (no neurologic deficit) to 6 (death). NIHSS scores range from 0 (normal function) to 42 (death), with higher scores indicating a greater neurological deficit.