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Study on Risk Factor Evaluation of Ischaemic Stroke Patients Admitted in a Tertiary Care Hospital: 100 Cases

Received: 25 October 2020     Accepted: 12 November 2020     Published: 16 December 2020
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Abstract

Background: Stroke is defined as a sudden onset focal neurological deficit of vascular etiology and is a major cause of mortality and morbidity around the globe. The aim of this study was to find out the proportion of major risk factor or factors related in infarctive stroke cases. Methods: This hospital based descriptive cross sectional study was carried out in one hundred (100) ischemic stroke patients admitted in Medicine units associated with Neurology ward in Enam Medical College & Hospital, Savar, Dhaka, Bangladesh during the period from January 2015 to September 2017. Permission for the study was taken from the mentioned departments and authorities. Subjects were selected in all age groups and both male and female patients to whom duration of illness were less than 72 hours. Results: Among all, 61% were male and 39% were female and male female ratio 1.56:1. The maximum number of patients (36%) were in between 61-70 years of age. Majority of the patients (40%) came from middle class (TK. 7000-10,000/Month). A significant number of patients had high level of lipid profile e.g. Total cholesterol (>200 mg/dl) 73.33%, LDL (>150 mg/dl) 60%, TG (>150 mg/dl) 70%. In many cases multiple risk factors were present. It was observed that hypertension was the most common major risk factor for stroke. Among the 60% of the hypertensive patients only 45% were controlled with treatment and 33.33% were uncontrolled with treatment and 21.66% did not take any medicine or measures. About 47% were smoker. Diabetes mellitus was detected in 26% of patients which is lower than hypertension and hyperlipidaemia. About 25% of patient had history of previous stroke and 20% patient had family history of stroke. Only 6% was alcoholic. Among the female patients 5% received oral pills. Conclusion: Hypertension is one of the major risk factors for the stroke. For the management and prevention of hypertension like stroke, we are recommending the following measures like Hypertension screening programme for early detection, management and follow up and increase awareness regarding hypertension and its complication. It should be controlled by personal motivation, anti-smoking campaign, banding of the smoking propaganda in the TV, Radio, News paper, poster, banner, leaflet etc. Ensure punishment for smoking in open public places and public transports.

Published in American Journal of Biomedical and Life Sciences (Volume 8, Issue 6)
DOI 10.11648/j.ajbls.20200806.16
Page(s) 225-230
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Ischemic, Stroke, Hypertension

References
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    Tazin Afrose Shah, Farhan Matin, Anarul Islam, Mahabubur Rahman, Mohiduzzaman Tony, et al. (2020). Study on Risk Factor Evaluation of Ischaemic Stroke Patients Admitted in a Tertiary Care Hospital: 100 Cases. American Journal of Biomedical and Life Sciences, 8(6), 225-230. https://doi.org/10.11648/j.ajbls.20200806.16

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    ACS Style

    Tazin Afrose Shah; Farhan Matin; Anarul Islam; Mahabubur Rahman; Mohiduzzaman Tony, et al. Study on Risk Factor Evaluation of Ischaemic Stroke Patients Admitted in a Tertiary Care Hospital: 100 Cases. Am. J. Biomed. Life Sci. 2020, 8(6), 225-230. doi: 10.11648/j.ajbls.20200806.16

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    AMA Style

    Tazin Afrose Shah, Farhan Matin, Anarul Islam, Mahabubur Rahman, Mohiduzzaman Tony, et al. Study on Risk Factor Evaluation of Ischaemic Stroke Patients Admitted in a Tertiary Care Hospital: 100 Cases. Am J Biomed Life Sci. 2020;8(6):225-230. doi: 10.11648/j.ajbls.20200806.16

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  • @article{10.11648/j.ajbls.20200806.16,
      author = {Tazin Afrose Shah and Farhan Matin and Anarul Islam and Mahabubur Rahman and Mohiduzzaman Tony and Md. Hyder Ali},
      title = {Study on Risk Factor Evaluation of Ischaemic Stroke Patients Admitted in a Tertiary Care Hospital: 100 Cases},
      journal = {American Journal of Biomedical and Life Sciences},
      volume = {8},
      number = {6},
      pages = {225-230},
      doi = {10.11648/j.ajbls.20200806.16},
      url = {https://doi.org/10.11648/j.ajbls.20200806.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20200806.16},
      abstract = {Background: Stroke is defined as a sudden onset focal neurological deficit of vascular etiology and is a major cause of mortality and morbidity around the globe. The aim of this study was to find out the proportion of major risk factor or factors related in infarctive stroke cases. Methods: This hospital based descriptive cross sectional study was carried out in one hundred (100) ischemic stroke patients admitted in Medicine units associated with Neurology ward in Enam Medical College & Hospital, Savar, Dhaka, Bangladesh during the period from January 2015 to September 2017. Permission for the study was taken from the mentioned departments and authorities. Subjects were selected in all age groups and both male and female patients to whom duration of illness were less than 72 hours. Results: Among all, 61% were male and 39% were female and male female ratio 1.56:1. The maximum number of patients (36%) were in between 61-70 years of age. Majority of the patients (40%) came from middle class (TK. 7000-10,000/Month). A significant number of patients had high level of lipid profile e.g. Total cholesterol (>200 mg/dl) 73.33%, LDL (>150 mg/dl) 60%, TG (>150 mg/dl) 70%. In many cases multiple risk factors were present. It was observed that hypertension was the most common major risk factor for stroke. Among the 60% of the hypertensive patients only 45% were controlled with treatment and 33.33% were uncontrolled with treatment and 21.66% did not take any medicine or measures. About 47% were smoker. Diabetes mellitus was detected in 26% of patients which is lower than hypertension and hyperlipidaemia. About 25% of patient had history of previous stroke and 20% patient had family history of stroke. Only 6% was alcoholic. Among the female patients 5% received oral pills. Conclusion: Hypertension is one of the major risk factors for the stroke. For the management and prevention of hypertension like stroke, we are recommending the following measures like Hypertension screening programme for early detection, management and follow up and increase awareness regarding hypertension and its complication. It should be controlled by personal motivation, anti-smoking campaign, banding of the smoking propaganda in the TV, Radio, News paper, poster, banner, leaflet etc. Ensure punishment for smoking in open public places and public transports.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Study on Risk Factor Evaluation of Ischaemic Stroke Patients Admitted in a Tertiary Care Hospital: 100 Cases
    AU  - Tazin Afrose Shah
    AU  - Farhan Matin
    AU  - Anarul Islam
    AU  - Mahabubur Rahman
    AU  - Mohiduzzaman Tony
    AU  - Md. Hyder Ali
    Y1  - 2020/12/16
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajbls.20200806.16
    DO  - 10.11648/j.ajbls.20200806.16
    T2  - American Journal of Biomedical and Life Sciences
    JF  - American Journal of Biomedical and Life Sciences
    JO  - American Journal of Biomedical and Life Sciences
    SP  - 225
    EP  - 230
    PB  - Science Publishing Group
    SN  - 2330-880X
    UR  - https://doi.org/10.11648/j.ajbls.20200806.16
    AB  - Background: Stroke is defined as a sudden onset focal neurological deficit of vascular etiology and is a major cause of mortality and morbidity around the globe. The aim of this study was to find out the proportion of major risk factor or factors related in infarctive stroke cases. Methods: This hospital based descriptive cross sectional study was carried out in one hundred (100) ischemic stroke patients admitted in Medicine units associated with Neurology ward in Enam Medical College & Hospital, Savar, Dhaka, Bangladesh during the period from January 2015 to September 2017. Permission for the study was taken from the mentioned departments and authorities. Subjects were selected in all age groups and both male and female patients to whom duration of illness were less than 72 hours. Results: Among all, 61% were male and 39% were female and male female ratio 1.56:1. The maximum number of patients (36%) were in between 61-70 years of age. Majority of the patients (40%) came from middle class (TK. 7000-10,000/Month). A significant number of patients had high level of lipid profile e.g. Total cholesterol (>200 mg/dl) 73.33%, LDL (>150 mg/dl) 60%, TG (>150 mg/dl) 70%. In many cases multiple risk factors were present. It was observed that hypertension was the most common major risk factor for stroke. Among the 60% of the hypertensive patients only 45% were controlled with treatment and 33.33% were uncontrolled with treatment and 21.66% did not take any medicine or measures. About 47% were smoker. Diabetes mellitus was detected in 26% of patients which is lower than hypertension and hyperlipidaemia. About 25% of patient had history of previous stroke and 20% patient had family history of stroke. Only 6% was alcoholic. Among the female patients 5% received oral pills. Conclusion: Hypertension is one of the major risk factors for the stroke. For the management and prevention of hypertension like stroke, we are recommending the following measures like Hypertension screening programme for early detection, management and follow up and increase awareness regarding hypertension and its complication. It should be controlled by personal motivation, anti-smoking campaign, banding of the smoking propaganda in the TV, Radio, News paper, poster, banner, leaflet etc. Ensure punishment for smoking in open public places and public transports.
    VL  - 8
    IS  - 6
    ER  - 

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Author Information
  • Department of Medicine, Uttara Adhunik Medical College (UAMC), Dhaka, Bangladesh

  • Department of Radiology and Imaging, Uttara Adhunik Medical College (UAMC), Dhaka, Bangladesh

  • Department of Respiratory Medicine, Uttara Adhunik Medical College (UAMC), Dhaka, Bangladesh

  • Department of Gastroenterology, Uttara Adhunik Medical College (UAMC), Dhaka, Bangladeshs

  • Department of Surgery, Uttara Adhunik Medical College (UAMC), Dhaka, Bangladesh

  • Department of Medicine, Uttara Adhunik Medical College (UAMC), Dhaka, Bangladesh

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