A study on clinical profile of acute stroke

Abstract

Background: Stroke or cerebrovascular accident is one of the leading causes of morbidity and mortality in adult life. Ischemic strokes are most common type of strokes and they account for 80-85% of cerebrovascular accidents worldwide. Hypertension, diabetes, dyslipidemia and smoking have been identified as major risk factors. Present study was undertaken to evaluate the clinical and investigation profile of different types of strokes.Methods: A total of 100 patients with brain stroke from November 2015 to October 2016 were included. Adult patients with stroke who attended the emergency department within 24 hours of attack were included. Patients with known chronic liver or kidney diseases, transient ischemic attack, active infections, history of neoplasia and alcoholic patients were excluded from the study. A thorough physical examination was conducted and stroke was defined as per World Health Organization criteria. Blood investigations were done including Magnetic resonance imaging and computed tomography scan. The data obtained was coded and entered into Microsoft excel worksheet. The data was analyzed using SPSS statistics software version 20.0. Results: Majority of the patients (71.00%) were males and 29.0% of the patients were females. Most of the patients were aged between 61 to 70 years (27.00%). Most of the patients had ischaemic stroke (80.00%) followed by haemorrhagic stroke (20%).Conclusions: Ischemic stroke is the more common as compared to hemorrhagic stroke. Detection of vascular risk factors and primary prevention measures should be initiated during late adolescence or early adulthood.

Predictors of Mortality in Spontaneous Intracerebral Hemorrhage Cases

“…Hypertension was observed in 77.3% of ICH cases. 29 The second comorbidity seen in present study was T2DM. this study reported 40 cases of T2DM in a cohort of 235 SICH.…”

“…28 found higher rates of hypertension as the most prevalent risk factor (72.5%) followed by DM (54.4%) when compared with this study, Itagietal. 29 reported hypertension in 38% cases followed by hypertension with diabetes mellitus in 23%. The other risk factors in descending order in their study were dyslipidemia, smoking, diabetes and alcohol excess.kay et al Hypertension was documented in 47.2% of the entire cohort of patients in study by Kay et al 31 and was the most common risk factor.…”

“…Similar male predominance was observed in other studies from Asia when compared with European and North American studies. 28,29 Hypertension was the most common risk factor in all the studies relating to SICH. Feldmann et al have reported a relative risk of 3.9 for ICH in patients with hypertension.…”