Risk factor analysis among patients with stroke: a cross sectional study at a tertiary care hospital
DOI:
https://doi.org/10.18203/2349-3933.ijam20183143Keywords:
Alcohol, Hypertension, Risk factors, Stroke, SmokingAbstract
Background: Study of risk factors of stroke is very important in different settings to confirm their existence and to take necessary steps to prevent them especially in elderly so that incidence of stroke can be brought down. The objective of the present study is to perform the risk factor analysis among patients with stroke.
Methods: A hospital based cross sectional study was carried out at a tertiary care hospital from June 2015 to March 2016. A total of 40 patients diagnosed with stroke were included in the present study. Detailed information and all necessary investigations were carried out. Risk factor analysis was done, and categorization was done for certain risk factors.
Results: The predominant age group was 6-60 years. The age ranged from 1 month to 67 years. The Male: Female ratio was 14:9. The common etiologies were congenital, post infective and intracranial bleed in 26.1% (n=6) each. Favourable outcome was seen in 82.6% of cases. The failure rate was 17.4%. Most no of cases with favourable outcome was seen in 6-60 years age group, whereas >60 years age group had the most no of cases with poor outcome. The overall mortality rate was 21.6% (n=5). Wound related complication was seen in 1 patient (4.3%). Two (8.7%) patients required VP shunt post ETV. The cause of mortality was aspiration pneumonitis in 3 cases, CSF metastasis and wound infection in 1 cases each.
Conclusions: The leading cause as well as risk factor for stroke was found to be hypertension followed by alcohol and smoking.
References
William B, Adams HP. American Heart Association, Heart and Stroke Facts. Dallas, 1993.
Walf PA, Adams AT, Manley MD, Dorothy F. Probability of stroke: a risk profile from Framingham study. Stroke. 1991;22:312-5.
Mohr JP, Edwards K, Munish S. The Harvard co-operative registry: A prospective registry of cases hospitalized with stroke. Neurology. 1978;28:754.
Sunder Rao PS. Some aspects of epidemiology of stroke in South India. Proj. 1st All India workshop conference on stroke. Vellore. 1996:25-31.
Padma MV, Bajaj SS. Risk factor profile in Northern India, Project work at stroke clinic at Neuroscience centre AIMS, Recent concepts in stroke. 1999.
Furlan AJ, Whisnant JP, Elveback LR. The decreasing incidence of primary intra-cerebral hemorrhage: A population study. Ann Neurol 1979;5:367-73.
Abbott RD, Gebel JM, Broderick JP. Risk of stroke in male cigarette smokers. N Engl J Med 1986;315:171.
Ewing JA. Detecting alcoholism: The CAGE questionnaire. JAMA. 1984;252:1905-7.
Kumaravelu S, Johri S, Mukerji JD, Pradhan AB. Intra-cerebral haemorrhage. JAPI. 2001;49:49.
Qureshi AI, Suri MAK, Safdar K, Ottenlips JR, Janssen RS, Frankel MR. Intra-cerebral hemorrhage in blacks: risk factors, subtypes, and outcome. Stroke. 1997;28:961-4.
Thacker AK, Radhakrishanan K, Maloo JC. Clinical and computed tomography analysis of intra-cerebral haemorrhage. JAPI. 1991;39:317-9.
Daverat P, Castel JP, Dartigues JF, Orgogozo JF. Death and functional outcome after spontaneous intra-cerebral haemorrhage. A prospective study of 166 cases using multivariate analysis. Stroke. 1991;22:1-6.
Archana V, Mallick A, Misra S. Clinical and radiological profile of intra-cerebral haemorrhage JAPI. 2002;50:1578.
Juvela S, Hillbom M, Palomaki H. Risk factors for spontaneous intra-cerebral haemorrhage. Stroke. 1995;26:1558-64.
Calandre L, Arnal C, Ortega JF, Bermijo F, Felgeroso B, Delser T et al. Risk factors for spontaneous cerebral hematomas: case-control study. Stroke. 1986;17:1126-8.
Konishi M, Iso H, Komachi Y, Lida M, Shimamoto T, Jacobs DR et al. Associations of serum total cholesterol, different types of stroke, and stenosis distribution of cerebral arteries. The Akita pathology study. Stroke. 1993;24:954-64.