DOI: http://dx.doi.org/10.18203/2349-3933.ijam20162514

Study of clinical profile of stroke patients in rural tertiary health care centre

Sanjay V. Patne, Kailas N. Chintale

Abstract


Background: There are 15 million people worldwide who suffer a stroke each year. According to the World Health Organization, stroke is the second leading cause of death for people above the age of 60 years, and the fifth leading cause in people aged 15 to 59 years old.  Each year, nearly six million people worldwide die from stroke. One in six people worldwide will have a stroke in their lifetime.

Methods: This cross sectional study was carried out from July 2014 to April 2016 of all new patients admitted with stroke in Indian institute of Medical Sciences and Research Center, Badnapur, Jalna, Maharashtra. India.

Results: The cerebrovascular strokes were more common in males (58.53%) than females (41.46%). Most common age group was 61-70 years (34.95%). The Most common clinical feature was Hemiplegia (55.28%). most common risk factor was hypertension (48.78%), tobacco chewing (26.01%), smoking (19.51%), followed by past h/o of cerebrovascular stroke (12.19%), Dyslipidemia (8.94%). Most common type of stroke was ischemic (68.28%) and hemorrhagic (31.69%) was second most common in ischemic strokes most common involved areas were parietal (30.08%), basal ganglia (9.75%), frontal lobe (7.31%). In hemorrhagic stroke most common site was thalamus (10.56%) followed by ventricular (5.69%) and basal ganglia (4.06%).

Conclusions: Young patients (age ≤45 years) were 16.26% which is more dangerous in view of productive year lost. Stroke having male predominance with hypertension was the most common risk factor smoking tobacco chewing and dyslipidemia were other risk factors for stroke and most common type of stroke was ischemic. Developing countries like India are facing a double burden of communicable and non-communicable diseases. Stroke is one of the leading causes of death and disability in India.


Keywords


Hypertension, Smoking, Ischemic stroke, Hemorrhagic stroke, Tertiary health care centre

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References


Bonita R, Beaglehole R. Stroke prevention in poor countries. Time for action. Stroke. 2007;38:2871-2.

Pandian JD, Srikanth V, Read SJ, Thrift AG. Poverty and stroke in India. A time to act. Stroke. 2007;38:3063-69.

Hartona S. Experiences from a multicenter stroke register: a preliminary report. Bull WHO. 1976;54(5):541-53.

Bath P. Acute stroke. In: D. Machin, S. Day S. Green, eds. Textbook of Clinical Trials. 2nd ed. Hoboken: Wiley. 2006:179-80.

Das SK, Banerjee TK, Biswas A, Raut DK, Mukherjee CS, Chaudhari A, et al. A prospectivecom-munity based study of stroke in Kolkata, India. Stroke. 2007;38(3):906-10.

Nagaraja D, Gururaj G, Girish N, Panda A, Roy AK, Sarma GRK, et al. Feasibility study of stroke surveillance: data from Bangalore, India. Indian J Med Res. 2009;130:396-403.

Eapen RP, Parikh JH, Patel NT. A study of clinical profile and risk factors of cerebrovascular stroke. Guj Med J. 2009;64(2):47-54.

Kameshwar P, Kapil SK. Stroke in young: an Indian perspective. Neurol India. 2010;58(3):343-50.

Feigin V, Lawes C, Bennet D, Barker Cello S, Parag V. Worldwide stroke incidence and early case fatality in 56 population based studies: a systematic review. Lancet Neurol. 2009;8(4):355-69.

Shah B, Mathur P. Workshop report on stroke surveillance in India. In: Shah B, Mathur P, eds. WHO Report. New Delhi: Division of Non Communicable Diseases, Indian Council of Medical Research; 2006:1-33.

Maskey A, Parajuli M, Kohli SC. A study of risk factors of stroke in patients admitted in manipal teaching hospital, Pokhara. Kathmandu Univ Med J (KUMJ). 2011;9(36):244-7.

Awad SM, Al-Jumaily HF, Al-Dulaimi KM, Abdulghafoor RH. Assessment of major risk factors among stroke patients. Saudi Med J. 2010;31(9):1028-31.

Ukoha OB, Ajaegbu O, Eke CO. A review of stroke cases in a military hospital in Nigeria. AFRIMEDIC J. 2012;3(2):30-3.

Gauri LA, Kochar DK, Joshi A, Jain R, Gupta S, Saini G, et al. A study of risk factors & clinical profile of stroke at Bikaner. JAPI. 2000;48(1):25-9.

Chitrambalam P, Baskar D, Revathy B. A study on stroke in young and elderly in Rajiv Gandhi government general hospital, Chennai. Int J Clin Med. 2012;3:184-9.

Aiyar I. A study of clinic-radiologicalcorrelation in cerebrovascular stroke (A study of 50 cases). Guj Med J. 1999;52:58-63.

Pinhero L, Damodar S,Roy AK. Risk factors in stroke: a prospective study. J Assoc Physician India. 2000;48:72-6.

Abdul-Rahman Sallam, Khalid Al-Aghbari. The clinical profile of stroke: a Yemeni experience. J Med J. 2009;43(2):115-21.

Kaur IR, Agarwal MP, Singh NR. Study of clinical profile & CT correlation in CV stroke. J Assoc Physician India. 2001;51:112-7.

Devichand, Karoli RK. A study of cerebrovascular strokes. J Indian Med Assoc. 1991;36(12):62-5.