Likelihood of rising stroke in populace of western India: a case control study

Authors

  • Kuntal H. Patel Department of Community Medicine, Medical College Baroda, Vadodara, Gujarat, India
  • Bhavesh D. Shroff Department of Community Medicine, Medical College Baroda, Vadodara, Gujarat, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20231610

Keywords:

Cerebrovascular accident, Haemorrhagic stroke, Ischemic stroke, Stroke

Abstract

Background: Cerebrovascular accident (Stroke) is a non-communicable disease of increasing importance. According to the World Health Organization, 15 million people suffer from stroke worldwide each year. The National Commission on Macroeconomics and Health, India, has estimated 1.67 million stroke cases in India. Due to the increasing prevalence of hypertension, diabetes, dyslipidemia, fast changing lifestyle and re-structuring of population, stroke will be an epidemic in India in the days to come. Few studies have been carried out in developing countries like India. So, this study intended to know the presentation in addition to risk factors, patterns of warning signs and symptoms of stroke in patients admitted to state tertiary care Hospital.

Methods: Assuming the power ratio of the number of controls same as numbers of cases specifying values for two sided confidence level 95% and odd ratio 2.15 which was the minimum risk factor in previous study was taken to calculate sample size.

Results: After studying of 148 cases of stroke and same controls, we conclude that most common type of stroke is ischemic stroke followed by haemorrhagic stroke. After multivariate analysis we found, modifiable risk factors were mainly mental stress, active and passive smoking, hypertension and obesity.

Conclusions: Due to the sheer magnitude, devastating consequences and residual sequelae of the stroke, early intervention in the form of patient education, modification of the lifestyle, non-pharmacological and pharmacological interventions for modifiable risk factors should be an integral aspect of patient care.

References

WHO. 10 facts on noncommunicable diseases, 2014; Available at: https://www.who.int/features/ factfiles/noncommunicable_diseases/en/. Accessed on 12th July 2018.

Internet Stroke Center. What is a Stroke?, YYYY. Available at: http://webcache.googleusercontent. com/search?q=cache:qimDlScia6wJ:www.strokecenter.org/patients/about-stroke/what-is-astroke/+& cd=3&hl=en&ct=clnk&gl=in. Accessed on 24th May 2023.

Prasad K, Singhal KK. Stroke in young: an Indian perspective. Neurol India. 2010;58(3):343-50.

Kamalakannan S, Gudlavalleti AS V, Gudlavalleti VSM, Goenka S, Kuper H. Incidence & prevalence of stroke in India: A systematic review. Indian J Med Res. 2017;146(2):175-85.

Venketasubramanian N, Yoon BW, Pandian J, Navarro JC. Stroke Epidemiology in South, East, and South-East Asia: A Review. J Stroke. 2017;19(3):286-94.

CDC.GOV. Types of stroke, 2023. Available at: https://www.cdc.gov/stroke/types_of_stroke.htm. Accessed on 10th May 2023.

WHO. Stroke, cerebrovascular accident, 2015. Available at: https://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html. Accessed on 15th September 2018.

O'donnell MJ, Xavier D, Liu L, Zhang H, Chin SL, Rao-Melacini P, et al. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study. Lancet. 2010;376(9735):112-23.

Sorganvi V, Kulkarni M, Udgiri R, Kadeli D, Atharga S. Risk factors for ischemic stroke-a case control study. IJABR. 2014;4(1):9-12.

Feroz S, Selim S, Ahammed A, Chowdhury RA, Chowdhury SH, Karim MN, et al. Comorbid risk factors for acute stroke: a case- control study in tertiary care hospital of Bangladesh. J Natl Inst Neurosci Bangladesh. 2017;2(2):84.

Abu-Odah H, Abed Y, Abu-Hamad B. Risk factors of stroke in patients admitted in European Gaza hospital, Gaza strip: A case control study in medical unit setting. J Neurol Disord Stroke. 2014;2(4):1-5.

Kubota Y, Iso H, Yamagishi K, Sawada N, Tsugane S, JPHC Study Group. Daily total physical activity and incident stroke. Stroke. 2017;48(7):1730-6.

Shou J, Zhou L, Zhu S, Zhang X. Diabetes is an independent risk factor for stroke recurrence in stroke patients: a meta-analysis. J Stroke Cerebrovasc Dis. 2015;24(9):1961-8.

Lee J, Han AR, Choi D, Lim K-M, Bae S. Modeling lifetime costs and health outcomes attributable to secondhand smoke exposure at home among Korean adult women. BMJ Open. 2017;7(5):e013292.

Oono IP, Mackay DF, Pell JP. Meta-analysis of the association between second hand smoke exposure and stroke. J Public Health (Bangkok). 2011;33(4):496-502.

Lindbohm JV, Kaprio J, Jousilahti P, Salomaa V, Korja M. Sex, smoking, and risk for subarachnoid hemorrhage. Stroke. 2016;47(8):1975-81.

Guo Y, Yue X, Li H, Song Z, Yan H, Zhang P, et al. Overweight and obesity in young adulthood and the risk of stroke: a meta-analysis. J Stroke Cerebrovas Dis. 2016;25(12):2995-3004.

Ohlsson C, Bygdell M, Sondén A, Jern C, Rosengren A, Kindblom JM. BMI increase through puberty and adolescence is associated with risk of adult stroke. Neurology. 2017;89(4):363-9.

Lee JS, Chang PY, Zhang Y, Kizer JR, Best LG, Howard BV. Triglyceride and HDL-C dyslipidemia and risks of coronary heart disease and ischemic stroke by glycemic dysregulation status: the strong heart study. Diabetes Care. 2017;40(4):529-37.

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Published

2023-05-29

How to Cite

Patel, K. H., & Shroff, B. D. (2023). Likelihood of rising stroke in populace of western India: a case control study. International Journal of Research in Medical Sciences, 11(6), 2015–2021. https://doi.org/10.18203/2320-6012.ijrms20231610

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Original Research Articles