Study of risk factors among stroke patients in a tertiary hospital of Northern India
DOI:
https://doi.org/10.18203/2349-3933.ijam20171039Keywords:
Stroke, Risk factorsAbstract
Background: Stroke is one of the leading causes of death and disability worldwide. The aim of the study was to find out the incidence of different types of strokes and the associated risk factors and to establish the role of different investigations in patients of stroke.
Methods: The study dealt with 100 patients of stroke who were admitted to B. R. D. Medical College, Gorakhpur, India. Each patient was analyzed in detail about clinical presentation and the investigations were aimed to establish the pathologic type of stroke and estimation of risk factors.
Results: Stroke incidence was more in males (Male: Female= 1.43:1). Maximum incidence of stroke was in 6th decade (32%) followed by 7th decade (30%). Among modifiable risk factors, history of hypertension was the commonest (51%) followed by smoking (36% patients) exclusively, found in males. Hemiparesis was the most common presentation (95%) followed by altered sensorium (55%). Chest X-ray was abnormal in 16% patients, abnormal ECG was found in 27% patients and abnormal lipid values were found in 54 patients.
Conclusions: Apart from control of hypertension and diabetes, abnormal lipid profile remains an important modifiable risk factor for stroke.
References
Bonita R, Mendis S, Truelsen T, Bogousslavsky J, Toole J, Yatsu F. The global stroke initiative. Lancet Neurol. 2004;3:391-3.
Powers AC. Harrison’s Principles of Internal medicine, 18th edition. Cerebrovascular Accident. Maryland, Baltimore: The McGraw-Hill Companies; 2012; 338:2275-304.
Banerjee TK, Das SK. Fifty years of stroke researches in India. Ann Indian Acad Neurol. 2016; 19(1):1-8.
Wasay M, Khatri IA, Kaul S. Stroke in South Asian countries. Nat Rev Neurol. 2014;10:135-43.
Chopra JS, Prabhakar S, Sodhi JS. Stroke in young: A clinico-radiological study. Neurol India. 1979b;27:160-9.
Kumar HHN, Kalra B, Goyal N, Jayaram S, Kumar SG. A study on profile and risk factors of stroke in young adults (15-45 years) from coastal South India. Ann Trop Med Public Health. 2011;4:25-8.
Lipska K, Sylaja PN, Sarma PS, Thankappan KR, Kutty VR, Vasan RS, et al. Risk factors for acute ischaemic stroke in young adults in South India. J Neurol Neurosurg Psychiatry. 2007;78:959-63.
Nongkynrih B, Acharya A, Ramakrishnan L, Ritvik, Anand K, Shah B. Profile of biochemical risk factors for non communicable diseases in urban, rural and periurban Haryana, India. J Assoc Physicians India. 2008;56:165-70.
Arnold M, Halpern M, Meier N, Fischer U, Haefeli T, Kappeler L, et al. Age dependent differences in demographics, risk factors, co-morbidity, etiology, management and clinical outcome of acute ischeamic stroke. J Neurol. 2008;255:1503-7.
Kulshrestha M, Vidyanand. Analysis of risk factors and outcomes of cerebrovascular disease in northern India. J Clin Diagn Res. 2013;7:127-31.
Kelly-Hayes M, Wolf PA, Kase CS, Brand FN, McGuirk JM, D′Agostino RB. Temporal patterns of stroke onset: The Framingham study. Stroke. 1995;26:1343-7.
Mehindiratta MM, Agarwal P, Sen K, Sharma B. Stroke in young adults: A study from a university hospital in north India. Med Sci Monit. 2004;10:535-41.
Lidegard O, Soe M, Andersen NM. Cerebral thromboembolism among young women and men from Denmark 1977 - 1982. Stroke. 1986;17:670-5.
Lisovoski F, Rousseaux P. Cerebral infarction in young people: A study of 148 patients with cerebral angiography. J Neurol Neurosurg Psychiatry. 1991;54:576-7.
Jadhav YL, Bondarde SA. Study of Risk Factors and Clinical Profile of Stroke in Young Adults. MVP Journal of Medical Sciences. 2015;2(1):15-9.
Shahar E, Chamblcss LE, Rosamond WD, Boland LL, Ballantyne CM, McGovern PG. Plasma Lipid profile and Incident ischemic stroke. Stroke. 2003;34(3):623-31.
