A study on socio-clinical profile and associated risk factors of stroke patients admitted to neurology department of SCB medical college, Cuttack, Odisha
Keywords:Stroke, Hypertension, Diabetes mellitus
Background: Non-communicable diseases (NCDs) are ragging reality of today’s world and have moved up the priority list of most countries worldwide including India. Objectives were to find out prevalence of different types of strokes among the patients admitted in neurology department of SCB medical college, to study socio-clinical profiles of admitted stroke patients and to find out associated risk factors with different types of strokes.
Methods: Cross-sectional hospital-based study in neurology ward of SCB MCH, Cuttack, Odisha in 2019-20.
Results: The mean age 60.93±12.8, males are more affected, 60-69 years were more affected, 76% were ischemic strokes, 85% cases weakness of limbs reported, hypertension, diabetes, alcoholism, smoking, dyslipidemia were major risk factors. Hypertension and smoking found to be highly significant in case of young stroke patients.
Conclusions: Major modifiable risk factors were hypertension (63.3%) followed by alcohol intake 53.9%.
Hatano S. Experience from a multicentre stroke register: a preliminary report. Bull world health organ. 1976;54:541-53.
World health organisation. The world health report 2013-research for universal health coverage. Geneva: WHO: 2013.
Ropper AH, Samuels MH, Klein JP. Adams principle of neurology, 8th edition, part 4, chap-34, cerebrovascular diseases, McGraw-Hill Education. 2005;660-746.
Smith WS, Johnston SC, Hemphill JC III. Harrison’s principle of internal medicine. vol, 11, 16th edition, chap, 349, cerebrovascular diseases, Cenveo® Publisher Services. 2018;2372-93.
Kannel WB. Risk stratification in hypertension: new insights from the Framingham study. Am j hypertens 2000;13(1 pt 2):3s-10.
Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2017 (GBD 2017) Results. Seattle, United States: Institute for Health Metrics and Evaluation (IHME), 2018. Available at: httpp://ghdx.healthdata.org/gbd-results-tool. Accessed on 19 May 2019.
Subha PP, Geethakumari SMP, Athira M, Nujum ZT. Pattern and risk factors of stroke in the young among stroke patients admitted in medical college hospital, Thiruvananthapuram. Ann Indian Acad Neurol. 2015;18(1):20-3.
Pandian JD, Sudhan P. Stroke epidemiology and stroke care services in India. J Stroke. 2013;15(3):128-34.
Seshadri S, Beiser A, Kelly-Hayes M, Kase CS, Kannel WB et al. The lifetime risk of stroke: estimates from the Framinham study. Stroke. 2006;37:345-50.
Nagaraja D, Gururaj G, Girish N, Panda S, Roy AK, Sharma GRK et al. Feasibility study of stroke surveillance: data from Bangalore, India. Indian j med res. 2009;130:396-403.
Aiyar I. A Study of clinic-radiological correlation in stroke. Gujarat Med J. 1999;52:58-63.
Pinhero L, Damodar S, Roy AK. Risk factors in stroke: A prospective study. JAPI. 2000;48:1.
Chapman JM, Reeder LG, Borun ER, Clark VA, Coulson AH. Epidemiology of vascular lesions affecting the central nervous system: the occurrence of strokes in a sample population under observation for cardiovascular disease. Am J Public Health. 1966;56:191.
Sotaneim KA, Pyhtinen J, Myllylä VV. Correlation of clinical and tomographic findings in stroke patients. Stroke. 1990;21(11):1562-6.
Bansal BC, Prakash C, Jain AC. Cerebrovascular disease in young individualsbelow the age of 40 years. Neurology (India). 1973;21:11-8.
Naik M, Rauniyar RK, Sharma UK, Dwevedi S, Karki DB, Samual JR. Clinic-radiological profile of stroke in eastern Nepal: A computed tomographic study. Kathmandu University Med Council. 2006;4(14): 161-6.
Hossain AM, Ahmed NU, Rahman M, Islam MR, Sadhay G, Fatema K. Analysis of Sociodemographic and Clinical Factors Associated with Hospitalized Stroke Patients of Bangaladesh. Faridpur Med Coll J. 2011;6(1):19-23.
Kuo SH, Lee YT, Li CR, Tseng CJ, Chao WN, Wang PH et al. Mortality in emergency department sepsis score as a prognostic indicator in patients with pyogenic liver abscess. Am j emergency med. 2013;31:916-21.
Gill JS, Zezulka AV, Shipley MJ, Gill SK, Beevers DG. Stroke and alcohol consumption. N Engl J Med. 1986;315:1041-6.
Hillbom M, Numminen H, Juvela S. Recent heavy drinking of alcohol and embolic stroke. Stroke. 1999;30:2307-12.
Klatsky AL, Armstrong MA, Friedman GD, Sidney S. Alcohol drinking and risk of hospitalization for ischemic stroke. Am J Cardiol. 2001;88:703-6.
Mazzaglia G, Britton AR, Altmann DR, Chenet L. Exploring the relationship between alcohol consumption and non-fatal or fatal stroke: A systematic review. Addiction. 2001;96:1743-56.
Wannamethee SG, Shaper AG. Patterns of alcohol intake and risk of stroke in middle-aged British men. Stroke. 1996;27:1033-9.