Sociodemographic and Clinical Factors of Acute Ischemic Stroke

Md. Amir Hossain, Hannan Ma, K. K. Barman, P. Biswas, M. Jahan, Muhammad Abdul Momen Khan
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Abstract

An observational study was carried out to analyze prevalence of risk factors for ischemic stroke in hospitalized patient in a university hospital. Ninety patients were chosen by using purposive sampling technique. The mean age of patients was 59.01±9.87 years varied from 30 to 75 years and male to female ratio was 1.2:1. Highest incidence of stroke was between the 6th and 7th decade. Patients came from both rural 49 (54.4%) and urban 41 (45.6) area. Most of them belonged to the lower-middle group 70 (84.8%). Regarding education 47 (52.2%) patients had primary level education and 8 (8.9%) patients were illiterate. It was observed that among them current smoker were 30 (33.3%) and ex-smoker 17 (18.9%). It was also observed that 52 (57.8%) patients had hypertension and 32 (35.6%) had diabetes mellitus (DM). Ischemic heart disease was present in 14 (15.6%) patients. By Oxford shire classification of stroke, it was observed that PAC is common 51 (56.7%) among all forms. Majority 38 (42.2%) of patients had hospital stay of 11-15 days. The mean hospital stay was found 13.68±6.6 days. This study found that cigarette smoking, hypertension, diabetes mellitus and ischemic heart diseases are the major risk factors prevalent in our community while other risk factors demand further study. Bangladesh Journal of Neuroscience 2017; Vol.  33 (1): 18-23
急性缺血性脑卒中的社会人口学及临床因素
对某大学医院住院患者缺血性脑卒中的危险因素进行了观察性分析。采用目的抽样法选取90例患者。患者平均年龄59.01±9.87岁,年龄30 ~ 75岁,男女比例1.2:1。中风的最高发病率在第6至第7个十年之间。患者来自农村49例(54.4%)和城市41例(45.6%)。以中下阶层70(84.8%)居多。在受教育程度方面,47例(52.2%)患者受小学教育程度,8例(8.9%)患者不识字。其中现吸烟者30人(33.3%),已戒烟者17人(18.9%)。高血压52例(57.8%),糖尿病32例(35.6%)。14例(15.6%)患者存在缺血性心脏病。根据牛津郡脑卒中分类,PAC在所有形式中最为常见(56.7%)。38例(42.2%)患者住院时间为11 ~ 15天。平均住院时间为13.68±6.6 d。本研究发现吸烟、高血压、糖尿病和缺血性心脏病是我们社区普遍存在的主要危险因素,其他危险因素有待进一步研究。孟加拉国神经科学杂志2017;Vol. 33 (1): 18-23
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