Study of Risk Factors and Clinical Profile of Stroke in Young Adults

Abstract

Background: According to the Global Health Observatory, stroke is the second most common cause of death during last decade with a rising trend. Although stroke is considered to be the disease of older population, with the demographic shift the disease incidence is now shifting to younger age group. This shifting trend to younger age group pose a great concern to the world in terms of days lost to work and mortality. There is paucity of information on stroke in young individuals covering important types of stroke. Aims & Objectives: To study the clinical profile and risk factors associated with the stroke in young adults. Materials & Methods: The present descriptive study was carried out at tertiary care Hospital of Nasik from June 2011 to June 2013. A total of 40 consecutive cases between 15-45 years presenting with stroke were recruited for the study after taking prior informed consent. All cases underwent a detailed history taking, general and clinical examination along with all required Investigations. Data was analysed by SPSS software ver. 17 using appropriate statistical tests. Results: Ischemic stroke was the most common presentation and stroke prevalence was similar across both genders. Headache was the most common symptom followed by vomiting in all types of stroke patients. OC Pills and parity was found to significantly associated with CVST. Obesity, smoking and abnormal lipid profile was found to be significantly associated with thromboemblic stroke. Only 3 out of 40 stroke patients died during the course of study. Conclusion: OC Pills and parity were significantly associated with CVST while obesity, smoking and dyslipidemia were significantly associated with thromboemblic stroke. Outcome in young stroke patients was fairly good.

Clinical Profile of Stroke-Study Conducted in the Batticaloa Teaching Hospital, Sri Lanka

“…Precisely, a similar sex ratio of 1.6:1 also has been observed in a study completed by Aiyae et al in India [9]. Thus, men are more likely to have a stroke than women [10]. This may be due to differences in risk factors such as smoking and drinking which are more prevalent among men in SriLanka compared with women [11].…”

Study of risk factors among stroke patients in a tertiary hospital of Northern India

“…Our study findings are supported by other studies. [13][14][15][16] However, further studies with bigger sample sizes are required to find out trends and risk factors among stroke patients.…”

Evaluating Risk Factors, Clinical and Therapeutic Profile of Stroke Patients Presenting to a Tertiary Care Hospital

“…Risk factors for intracerebral hemorrhage include age, hypertension, anticoagulant therapy, intracranial vascular malformations, and substance abuse [7]. The common risk factors are diabetes, high blood pressure, smoking, and obesity [8].…”

“…The score for each ability is a number between 0 and 4, 0 for normal functioning and 4 for completely impaired. The severity of stroke is categorized as no symptoms (0), minor stroke (1-4), moderate (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15), moderate to severe (16)(17)(18)(19)(20), and severe [11]. A clinical pharmacist can play a major role in identification of risk factors and their effects among stroke patients which can be modified by performing patient counseling regarding lifestyle modifications.…”