Clinical prevalence of stroke in a tertiary care hospital in Southern India
DOI:
https://doi.org/10.18203/2320-6012.ijrms20210509Keywords:
Cerebrovascular stroke, Cerebrovascular disease, Ischemic stroke, Haemorrhagic strokeAbstract
Background: Stroke is the second most deadly disease in the world next only to ischemic heart disease. The incidence of stroke continues to rise particularly among young individuals. Given the paucity of data and lack of reliable reporting mechanisms, understanding the epidemiology of stroke in India is challenging. This study aims to review the prevalence of stroke in a tertiary care hospital in southern India.
Methods: The study includes all the Stroke patients admitted in Government Rajaji Hospital and Madurai Medical College, Madurai during the period of 01 January 2018 to 31 December 2018.
Results: A total of 1168 patients were taken into study, there were 779 males and 389 females. There were a total of 848 ischaemic stroke patients (72.60%), when compared to 320 haemorrhagic stroke patients 27.39%. Anterior circulation stroke prevalence was higher (88.27%) when compared to posterior circulation stroke. A total 498 patients (42.63%) belonged to the age group of 40 to 60 years.
Conclusions: There is inadequate data regarding the prevalence of stroke in India and decade old data indicates that there is an increasing prevalence. Hence the study reviewed the current prevalence of stroke in a tertiary care centre in southern Tamil Nadu.
References
Bath P. Acute stroke. In: Machin D, Day S, Green S, editors. Textbook of Clinical Trials. 2nd ed. Hoboken: Wiley. 2006;179-80.
Hatano S. Experience from a multicentre stroke register: A preliminary report. Bull World Health Organ. 1976;54:541-53.
Eapen RP, Parikh JH, Patel NT. A study of clinical profile and risk factors of cerebrovascular stroke. Guj Med J. 2009;64:47-54.
Mackay J Masah GA. Atlas of Heart Disease and Stroke; Global Burden of Stroke. Geneva; World Health Organization. 2004.
Pandian JD, Sudhan P. Stroke epidemiology and stroke care services in India. J Stroke. 2013;15:128-34.
Kasper D, Fauci A, Hauser S, Longo D, Jameson JL, Loscalzo J. Cerebrovascular Diseases. In: Harrison’s Principles of Internal Medicine. New York: McGraw-Hill Education. 2015;2559.
Das SK, Banerjee TK, Biswas A, Roy T, Raut DK, Mukherjee CS, et al. A prospective community-based study of stroke in Kolkata, India. Stroke. 2007;38:906-10.
Dalal PM. Burden of stroke: Indian perspective. Int J Stroke. 2006;1:164-6.
Abraham J, Rao PS, Inbaraj SG, Shetty G, Jose CJ. An epidemiological study of hemiplegia due to stroke in South India. Stroke. 1970;1:477-81.
Aho K, Harmsen P, Hatano S, Marquardsen J, Smirnov VE, Strasser T, et al. Cerebrovascular disease in the community: Results of a WHO collaborative study. Bull World Health Organ. 1980;58:113-30.
Munjal M, Pal Y. Cerebrovascular accident. In: API Textbook of Medicine. 18th ed. JP Medical Ltd. 2012;758-65.
Mehndiratta 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.
El Zunni S, Ahmed M, Prakash PS, Hassan KM. Stroke: Incidence and pattern in Benghazi, Libya. Ann Saudi Med. 1995;15:367-9.
Nagaraja D, Gurumurthy SG, Taly AB, Subbakrishna K, Rao B, Sridhararama RB, et al. Risk factors for stroke: Relative risk in young and elderly. Neurol India. 1998;46:183-4.
Dalal PM. Strokes in young and elderly: Risk factors and strategies for stroke prevention. J Assoc Physicians India. 1997;45:125-30.
Bogousslavsky J, Pierre P. Ischemic stroke in patients under age 45. Neurol Clin. 1992;10:113-24.
Shinton R, Beevers G. Meta-analysis of relation between cigarette smoking and stroke. BMJ. 1989;298:789-94.
Alvarez J, Matias-Guiu J, Sumalla J, Molins M, Insa R, Moltó JM, et al. Ischemic stroke in young adults. I. Analysis of the etiological subgroups. Acta Neurol Scand. 1989;80:28-34.
Grindal AB, Cohen RJ, Saul RF, Taylor JR. Cerebral infarction in young adults. Stroke. 1978;9:39-42.
Aiyar I. A study of clinic-radiological correlation in cerebrovascular stroke (a study of 50 cases). Guj Med J. 1999;52:58-63.
Devich A, Karoli RK. A study of cerebrovascular strokes. J Indian Med Assoc 1991;36:62-5.
Kaur G, Samar N, Sharma J, Pareek KK, Veerwal R, Kajla P, Raghuvendra. A Study of Clinico-radiological and Socio-demographic Profile of Patients with Stroke in a Tertiary Care Hospital of South West Rajasthan. J Assoc Physicians India. 2020;68(3):54-8.
Kelly-Hayes M. Influence of age and health behaviors on stroke risk: lessons from longitudinal studies. J Am Geriatr Soc. 2010;58(2):325-8.
Pandian JD, Sudhan P. Stroke epidemiology and stroke care services in India. J Stroke. 2013;15(3):128-34.
