Evaluation of Risk factors in Newly Diagnosed Stroke Patients

Abstract

Stroke is the major cause of death and disability in the world. The endemicity in Bangladesh is increasing. This hospital-based cross-sectional study was done to assess the risk factors responsible for acute stroke. It was carried out in the Medicine, Neurology, and Neurosurgery department of Holy Family Red Crescent Medical College Hospital, Dhaka from August 2010 to January 2011. A totalof 116 admitted cases were included in this study.During the period of study,16 patientsdied. So, ultimately 100 cases were included in the study. A detailed history was taken,and clinical examination and relevant investigations were done.Out of 116 patients 77(66.4%) were ischemic, 23(19.8%) were haemorrhagic and 16(13.8%) were died. Among them 67(67%) were male and 33(33%) were female. So male to female ratio was 2:1. The age of the patients ranged from 15-96 years.The more than 50 years age group was highest at 49(63.6%) in ischemic, and 41-50 years age group was highest at 10(hemorrhagic) patients. Patients of the sedentary group were more affected in both ischemic 39(50.6%) and hemorrhagic 13(56.5%) strokes. Out of 100 cases, 35(45.5%) were hypertensive in ischemic stroke and 22(94.7%) were hypertensive in haemorrhagic stroke, 21(27.3%) were diabetic in ischemic stroke and 4(17.4%) were diabetic in haemorrhagic stroke, 17(22.1%) were smoker in ischemic stroke and 2(8.7%) were asmoker in haemorrhagic stroke, hyperlipidaemia occurs 17(22.1%) cases in ischemic stroke and 13(56.5%) were in haemorrhagic stroke. Thromboembolic manifestations only occur in 12(52.2%) cases in haemorrhagic stroke patients.