A descriptive study of stroke types, risk factors, clinical features, and outcomes in a tertiary hospital in Myanmar.

IF 3.6 Q1 TROPICAL MEDICINE
Thant Zin Tun, Su Myat Han, Kazuhiko Moji, Mitsuaki Matsui
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Abstract

Background: Stroke is a leading cause of death in the world, and the burden of stroke is higher in low- and middle-income countries. Understanding the risk factors, complications, and outcomes of stroke are useful for healthcare planning and resource allocation. Little information on stroke is available for many low- and middle-income Asian countries; including Myanmar, which is the focus of this study.

Methods: A review was conducted of medical records for stroke admissions during 2017 in a tertiary hospital in Myanmar. The final diagnoses, risk factors, clinical features, complications, and outcomes were systematically collected from computer- and paper-based medical records.

Results: Of 908 cases analysed, haemorrhagic stroke was the most common type (49%), followed by ischaemic stroke (43%). Unimproved cases were 32%. Identified risk factors of unimproved cases were 'haemorrhagic stroke' [adjusted odds ratio (aOR): 1.73], 'having fever during hospitalization' [aOR: 2.49], 'Glasgow Coma Scale (GCS) at the admission between 9 and 14' [aOR: 4.33], and GCS less than 9 [aOR: 42.86].

Conclusion: This study is based on hospital medical records to assess stroke types, risk factors, clinical features, and outcomes in a tertiary hospital, in Nay Pyi Daw, Myanmar. The findings indicated that early case admission, improved hospital care management, and increased awareness of the modifiable risk factors within populations are crucial for preventing stroke incidents.

缅甸一家三级医院对中风类型、风险因素、临床特征和预后的描述性研究。
背景:中风是世界上主要的死亡原因,中低收入国家的中风负担较重。了解中风的风险因素、并发症和预后对医疗规划和资源分配很有帮助。许多中低收入亚洲国家(包括本研究的重点国家缅甸)有关中风的信息很少:方法:对缅甸一家三级医院 2017 年收治的脑卒中患者的医疗记录进行了审查。从计算机和纸质病历中系统收集了最终诊断、风险因素、临床特征、并发症和结果:在分析的908个病例中,出血性中风是最常见的类型(49%),其次是缺血性中风(43%)。未好转病例占 32%。未好转病例的风险因素为 "出血性中风"[调整后的几率比(aOR):1.73]、"住院期间发烧"[aOR:2.49]、"入院时格拉斯哥昏迷量表(GCS)在 9 至 14 之间"[aOR:4.33]以及 GCS 小于 9 [aOR:42.86]:本研究以医院病历为基础,评估了缅甸内比都一家三级医院的卒中类型、风险因素、临床特征和预后。研究结果表明,尽早收治病例、改善医院护理管理、提高对人群中可改变风险因素的认识,对于预防中风事件至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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