title: Long-term prognosis of ischemic stroke in young adults.
abstract: There is limited information about long-term prognosis of ischemic stroke in young adults. Giving the potentially negative impact in physical, social, and emotional aspects of an ischemic stroke in young people, providing early accurate long-term prognostic information is very important in this clinical setting. Moreover, detection of factors associated with bad outcomes (death, recurrence, moderate-to-severe disability) help physicians in optimizing secondary prevention strategies. The present paper reviews the most relevant published information concerning long-term prognosis and predictors of unfavorable outcomes of ischemic stroke affecting young adults. As a summary, we can conclude that, in the long term, stroke in the young adult increases slightly the risk of mortality, implies higher risk of future cardiovascular events, and determines functional limitations in a significant percentage of patients. Nevertheless, in every individual case the prognosis has to be considered depending on several factors (stroke subtype, initial severity, cardiovascular risk factors) that determine the long-term outcomes.
authors.affiliation: Department of Internal Medicine, University Hospital "Madrid Montepríncipe", CEU-San Pablo University School of Medicine and Institute of Applied Molecular Medicine (IMMA), Avenida Montepríncipe 25, Boadilla del Monte, 28660 Madrid, Spain.
authors.forename: Jose F
authors.initials: JF
authors.lastname: Varona