Prevalence of Types of Stroke and Associated Risk Factors in the Department of Neurology: A Retrospective Observational Study
Main Article Content
Abstract
ABSTRACT
AIM: The aim of the study is to evaluate the prevalence of types of stroke and associated risk factors.
MATERIAL AND METHOD: This is a retrospective observational study conducted over a period of 6 months in a tertiary care hospital. A total of 277 patients satisfying the inclusion and exclusion criteria were analysed. Case records of patients from the MRD were retrospectively reviewed for demographic data, past medical and medication history, habits, clinical presentation, investigations, management, outcome from the year of 2017 to 2021 June. Data analysed using SPSS and Microsoft Excel 2010.
RESULT
The most prevalent type of stroke was found to be Ischemic stroke (IS). The highest prevalence of stroke was found in the age group above 70 years. Most contributable risk factors of stroke were found to be the patients with both hypertension and diabetes mellitus. Out of 277 patients, 223 patients had hypertension and 160 patients had hypertension either as a single risk factor or as a combination with other risk factors. Men were more prone to stroke with the risk factors of hypertension with diabetes mellitus.
CONCLUSION
Adults aged ≥70 years had a high prevalence of stroke and a high-risk stroke population, with ischemic stroke being the most common form in our study. These results indicate that individual-level and population-level treatments for these major risk factors are required to prevent stroke because hypertension and diabetes mellitus were stronger contributors to stroke. These results have the conclusion that when establishing preventative methods, these risk factors should be considered while decision making.
Article Details
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References
I. Hantos S. Experience from a multicentre stroke register: a preliminary report. Bulletin of the World Health Organisation. 1976;54(5):541-553.
II. Fekadu G, Chelkeba L, Kebede A. Riskfactor, clinical presentation and predictors of stroke among adult patients admitted to stroke unit of Jimma university medical center, south west Ethiopia: A prospective observational Study. BMC Neuroogy.2019;19:187.
III. Dipiro JT, Talbert RL, Yee GC, Matzke GR, Wells BG, Posey lM. Sroke. Pharmacotherapy A pathophysiologic Approach.8th ed.2011:353-362.
IV. Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, et al. Global Burden of Diseases, Injuries and Risk Factors Study 2010. Global Burden of Disease Study 2010. 2014;383: 245-254.
V. Punna S, Shailendra D, Mohammad A B, Balla K S, Joseph A K, Edem S, et al. Clinical profile of patients with stroke in a tertiary care hospital setting in rural telangana. National Journal of physiology, Phamacy and practice.2020;10(6):473-477.
VI. Yao X Y, Lin y, Geng j, Sun Y, Chen Y, Shi G et al. Age and gender specific prevalence of risk factors in patients with first ever ischemic stroke in china. Stroke Research and Treatment.2012;10:1-6.
VII. Ojha P T, Basak S, Aglave V, Yadav J. Incidence of stroke in adults according to age sex and subtypes in urban Indian population. Neurology and Neuroscience reports.2020;3.
VIII. Brainin M, Heiss WD. Common risk factors and prevention. Textbook of Medicine.2010:89-98.
IX. Persky R W, Turtzo L C, Mc Cullough L D. Stroke in women: Dispanties and outcomes. Current Cardiology Reports.2010;12(1):6-13.
X. Lavados PM, Hoffmeister L, Vejar A, Vidal C, Gajardo C, PortalesB, et al. Incidence, Risk factors, prognosis and health-related quality of life after stroke, a low resource community in chile: A prospective population based study. The Lancet Glob Health.2021;9:e340-e351.
XI. Zhang F L, Guo Z N, Wu H Y, Luo Y, Sun M S, Yang Y et al. Prevalance of stroke and associated risk factors:A population based cross sectional study from northern china.BMJ.2017;7.
XII. Unnikrishnana JP, Sridharan SE, Sukumaran S, Nayak SD, Sarma P S, Radhakrishnan K et al. Incidence, types, risk factors and outcome and stroke in developing country. AHA journal.2009;40:1212-1218.
XIII. Areefulla H S, Madihatl, Ayesha J, Sumaiyas, Mohiuddin MM. A Prospective observational Study on risk factors and prescribing patterns of drugs used in stroke patients at tertiary care teaching hospital. Journal of Drug delivering and therapeutics. 2020;10 (5):71-75.
XIV. Yi X, Luo H, Li J.Prevalance of stroke and stroke related risk factors :A population based cross sectional survey in southwestern china. BMC Neurology 20.7 January 2020;5. Pan Y, Liz, Jin A, Jing J, Meng X, Wang Y et al. Residual risk and its risk factor for ischemic stroke with adherence to guideline based secondary stroke prevention. Journal of stroke.2021;23(1):51-60.
XV. Koolaee MH, Shahmoradi L, Younesi E. Prevalance of stroke risk factors and their distribution based on stroke subtypes in Gorgan: A retrospective Hospital based study. Neurology Research International.2016.
XVI. Wei W, Li J, Chen X, Yi X, Luo H, Zhou J et al. Prevalance of stroke and stroke related risk factors: A population based cross sectional survey in south west china. BMC Neurology.2015.
XVII. Kannan V, Jutin C, Prashanth PRS, Alexander N. Clinical Prevalance of stroke in a tertiary care hospital in southern India. International Journal of Research in Medical Sciences.2021;9(3):838-841.