Pattern of stroke patients admitted at a tertiary Hospital in Bangladesh

Authors

  • M. Mahade Hassan Adult ICU and Acute Medicine, Chattogram Maa-O-Shishu Hospital Medical College, Chittagong, Bangladesh
  • Alak Nandy Anaesthesia and ICU Adult, Chattogram Maa-O-Shishu Hospital Medical College, Chittagong, Bangladesh
  • Shafatujjahan Department of Radiation Oncology, Chattogram Maa-O-Shishu Hospital Medical College, Chittagong, Bangladesh
  • Adnan Ibrahim Chowdhury ICU Adult, Chattogram Maa-O-Shishu Hospital Medical College, Chittagong, Bangladesh
  • Tarequr Rahaman ICU Adult, Chattogram Maa-O-Shishu Hospital Medical College, Chittagong, Bangladesh
  • M. Kafil Uddin Raihan ICU Adult, Chattogram Maa-O-Shishu Hospital Medical College, Chittagong, Bangladesh

DOI:

https://doi.org/10.18203/2320-6012.ijrms20251618

Keywords:

Ischemic stroke, Haemorrhagic stroke, Stroke center, NIHSS score

Abstract

Background: Stroke is one of the most common causes of mortality and morbidity in Bangladesh. The purpose of the study was to understand the pattern of stroke in a tertiary care hospital in Bangladesh.

Methods: This cross-sectional study was carried out from June to November 2023 among diagnosed stroke patients. Convenient sampling was used to select the 60 patients from Chattogram Maa O Shishu Hospital, Bangladesh. A face-to-face interview was conducted using a semi-structured questionnaire. Descriptive analysis and Chi-square test were performed by IBM SPSS software.

Results: Among 60 patients, almost half (48.3%) were in the 65–84 age group. Most of the patients had HTN (81.7%) and DM (55%). About 40% of ischemic and haemorrhagic patients had arrived at the hospital before 6 hours. This study also found that only 38% of ischemic stroke patients and 20% of haemorrhagic patients had a good (13–15) GCS score. The NIHSS score was very severe (21-42) among 36% of ischemic stroke patients and 40% of haemorrhagic stroke patients. Vomiting, GCS, headache, convulsion, pulse, and diastolic blood pressure had a significant (p≤0.05) association with stroke.

Conclusions: Ischemic stroke was the predominant form of stroke, and a large number of patients arrived at the hospital on time. Rapid initiation of treatment can decrease morbidity and mortality rates significantly. So, a stroke center should be established as soon as possible to save patients' lives.

Metrics

Metrics Loading ...

References

Feigin VL, Norrving B, Mensah GA. Global burden of stroke. Circ Res. 2017;120(3):439-48. DOI: https://doi.org/10.1161/CIRCRESAHA.116.308413

Strong K, Mathers C, Bonita R. Preventing stroke: Saving lives around the world. Lancet Neurol. 2007;6:182-7 DOI: https://doi.org/10.1016/S1474-4422(07)70031-5

Beaglehole R, Bonita R, Alleyne G, et al. UN high-level meeting on non-communicable diseases: addressing four questions. Lancet. 2011;378(9789):449–55. DOI: https://doi.org/10.1016/S0140-6736(11)60879-9

Patne S, Chintale K. Study of clinical profile of stroke patients in rural tertiary health care centre. Int J Adv in Med. 2016;3(3):666–70. DOI: https://doi.org/10.18203/2349-3933.ijam20162514

Tan KS, Navarro JC, Wong KS, Huang YN, Chiu HC. Clinical profile, risk factors and aetiology of young ischaemic stroke patients in Asia: A prospective, multicentre, observational, hospital-based study in eight cities. Neurology Asia. 2014;19(2):56-8.

Subha PP, Geethakumari SM, 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. DOI: https://doi.org/10.4103/0972-2327.144293

Feigin VL, Lawes CM, Bennett DA, Barker-Collo SL, Parag V. Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. The Lancet Neurol. 2009;8(4):355-69. DOI: https://doi.org/10.1016/S1474-4422(09)70025-0

Islam MN, Moniruzzaman M, Khalil MI, Basri R, Alam MK, Loo KW, Gan SH. Burden of stroke in Bangladesh. Int J Stroke. 2013;8(3):211-3. DOI: https://doi.org/10.1111/j.1747-4949.2012.00885.x

Owolabi MO, Sarfo F, Akinyemi R. Dominant modifiable risk factors for stroke in Ghana and Nigeria (SIREN): a case-control study. Lancet Glob Health. 2018;6(4):436–46. DOI: https://doi.org/10.1016/S2214-109X(18)30002-0

World Health Organization. Report of the WHO Task Force on Stroke and other Cerebrovascular Disorders. Recommendations on stroke prevention, diagnosis and therapy. Stroke. 1989;20:1407-10. DOI: https://doi.org/10.1161/01.STR.20.10.1407

Gebremariam SA, Yang HS. Types, risk profiles, and outcomes of stroke patients in a tertiary teaching hospital in northern Ethiopia. E Neurological Sci. 2016;3:41-7.

Alemayehu CM, Birhanesilasie SK. Assessment of stoke patients: occurrence of unusually high number of haemorrhagic stroke cases in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Clin Med Res. 2013;2(5):94-100. DOI: https://doi.org/10.11648/j.cmr.20130205.11

Kabir R, Islam MM, Hasan MM, Jarna RN, Rahman MM. Etiologic Pattern of Stroke in Young Patients in a Tertiary Care Hospital. 2019.

Agazhe M, Eshetu D, Arsicha A, Hamato A, Petros A, Dabaro D, et al. Incidence and pattern of stroke among patients admitted to medical ward at Yirgalem General Hospital, Sidama Regional State, Southern-Ethiopia. SAGE Open Med. 2021;9:154. DOI: https://doi.org/10.1177/20503121211001154

Asres AK, Cherie A, Bedada T. Frequency, nursing managements and stroke patients’ outcomes among patients admitted to Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia A retrospective, institution based cross-sectional study. Int J Africa Nurs Sci. 2020;13:100228.

Asres AK, Cherie A, Bedada T. Frequency, nursing managements and stroke patients’ outcomes among patients admitted to Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia A retrospective, institution based cross-sectional study. Int J Africa Nurs Sci. 2020;13:100228. DOI: https://doi.org/10.1016/j.ijans.2020.100228

Zewdie A, Debebe F, Kebede S, et al. Prospective assessment of patients with stroke in Tikur Anbessa specialised hospital, Addis Ababa, Ethiopia. Afr J Emerg Med. 2018;8(1):21–4. DOI: https://doi.org/10.1016/j.afjem.2017.11.001

Fekadu G, Wakassa H, Tekle F. Stroke event factors among adult patients admitted to stroke unit of Jimma University Medical Center: prospective observational study. Stroke Res Treat. 2019;3;261. DOI: https://doi.org/10.21203/rs.2.9228/v1

Gebremariam SA, Yang HS. Types, risk profiles, and outcomes of stroke patients in a tertiary teaching hospital in northern Ethiopia. E Neurological Sci. 2016;3:41-7. DOI: https://doi.org/10.1016/j.ensci.2016.02.010

Sourav MM, Russedul Islam M, Mohibur Rahman S, Istiak Jahan M. Heterogeneity in stakeholder's perceptions on delays in infrastructure projects: scenario of Bangladesh. Engineer Construct Architectural Management. 2024. DOI: https://doi.org/10.1108/ECAM-04-2023-0330

Downloads

Published

2025-05-30

How to Cite

Hassan, M. M., Nandy, A., Shafatujjahan, Chowdhury, A. I., Rahaman, T., & Raihan, M. K. U. (2025). Pattern of stroke patients admitted at a tertiary Hospital in Bangladesh. International Journal of Research in Medical Sciences, 13(6), 2321–2327. https://doi.org/10.18203/2320-6012.ijrms20251618

Issue

Section

Original Research Articles