A Study of Acute Stroke Patients (hospitalized at the oriental internal disease ward of Kyungwon University In-cheon Oriental Medical Hospital) according to the TOAST Classification
(Trial of Org 10172 in Acute Stroke Treatment)

Jung, Ki-yong; Go, Ho-yeon; Jeong, Seung-min; Hsia, Yu-chun; Jung, Hee; Choi, You-kyung; Kim, Dong-woo; Han, Chang-ho; Cho, Ki-ho; Park, Jong-hyung; Jun, Chan-yong

The Journal of Internal Korean Medicine > Volume 27(4); 2006 > Article

Original Article

The Journal of Internal Korean Medicine 2006;27(4): 905-913.

TOAST 분류에 의한 급성기 중풍(뇌중풍) 입원 환자 분석 (경원인천한방병원)

정기용¹, 고호연², 정승민¹, 하유군¹, 정희², 최유경¹, 김동우², 한창호³, 조기호⁴, 박종형², 전찬용¹

¹경원대학교 인천한방병원 내과
²경원대학교 한의과대학 내과학교실
³동국대학교 일산한방병원 한방내과
⁴경희대학교 한의과대학 심계내과학교실

A Study of Acute Stroke Patients (hospitalized at the oriental internal disease ward of Kyungwon University In-cheon Oriental Medical Hospital) according to the TOAST Classification (Trial of Org 10172 in Acute Stroke Treatment)

Ki-yong Jung¹, Ho-yeon Go², Seung-min Jeong¹, Yu-chun Hsia¹, Hee Jung², You-kyung Choi¹, Dong-woo Kim², Chang-ho Han³, Ki-ho Cho⁴, Jong-hyung Park², Chan-yong Jun¹

¹Department of Internal Medicine, Kyungwon University In-cheon Oriental Medical Hospital
²Department of Internal Medicine, College of Oriental medicine, Kyungwon University
³Department of Oriental Internal Medicine, Dongguk University International Hospital, Dongguk University
⁴Department of Internal Medicine, College of Oriental medicine, Kyunghee University

Correspondence

Chan-yong Jun ,Tel: 032-770-1211, Fax: 032-772-9011, Email: joncy@kyungwon.ac.kr

Published online: December 30, 2006.

ABSTRACT

Background and Purpose :
The purpose of this study was to classify according to the TOAST classification (Trial of Org 10172 in Acute Stroke Treatment) acute stroke patients (first-ever stroke) treated at the Department of Internal Medicine of Kyungwon University In-cheon Oriental Medical Hospital.

Methods :
In the time period Oct. 2005 to Oct. 2006, 101 patients with a first-ever stroke admitted to the Department of Internal Medicine of Kyungwon University In-cheon Oriental Medical Hospital were included. Patients were hospitalized within 14 days after the onset of stroke. They had neurological deficits for a time more than 24 hours. We classified patients according to the original TOAST classification (Trial of Org 10172 in Acute Stroke Treatment).

Results:
The incidence in males was 54.4%, in females was 45.6%. Ischemic stroke (86.1%) was more common than hemorrhagic stroke (13.9%). The results of TOAST classification in this study were as follows: small-vessel occlusion, 72.4% large-artery atherosclerosis, 14.9 % cardioembolism, 4.6% stroke of other determined etiology, 4.6%; stroke of undetermined etiology, 3.5%. Patients in the small-vessel occlusion subgroup in this study were the most frequent. The result of this study is that Korean stroke registry is not in accordance with western medicine.

Conclusions:
The TOAST classification system is the most widely accepted tool to categorize stroke subtypes in western medicine, but in oriental medicine, it is not yet widely accepted. The authors suggest the general use of the TOAST classification to determine adequate management for stroke patients, to predict the prognosis and recurrence of stroke and to develop a Korean standard of stroke in oriental medicine.

Key words: acute stroke patients(first-ever stroke), TOAST classification