Clinical Profile of Patients with Cerebrovascular Accident: A Study from Rural Hospital
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 9
Abstract
Cerebrovascular accident is a global health problem and leading cause of mortality and morbidity worldwide. Effective risk factor intervention offers a real hope of reducing stroke mortality and morbidity. Due to increase in burden of stroke in coming years and limited availability of stroke care in India, it would be better to study on preventive measures that will reduce incidence of stroke. The objective of our study was to assess the clinical profile, risk factors and the prognosis of cerebrovascular accident with reference to the risk factors in 100 patients presented with cerebrovascular accident. Study protocol included detailed clinical history, clinical examination and investigations. Advancing age, male gender, hypertension, diabetes mellitus, smoking, dyslipidemia, alcohol consumption, heart disease, carotid stenosis, family history of stroke, drugs and past history of transient ischemic attack were identified as risk factors for cerebrovascular accidents. Increasing age, male sex, low Glasgow coma scale at the time of admission, hypertension, diabetes mellitus, dyslipidemia, heart disease, smoking, carotid stenosis, presence of multiple risk factors, middle cerebral artery territory infarct, presence of trantentorial herniation, subarachnoid hemorrhage, intraparenchymal bleed with intraventricular extension were associated with poor prognosis. Ischemic stroke was more common than hemorrhagic stroke and hemorrhagic stroke was associated with poor prognosis. Some of these risk factors can be modifiable by changing lifestyle, people who are prone for cerebrovascular accident need to be screened, counseled and treated .A more extensive prospective case control study in future is required on cerebrovascular accidents in rural population. Keywords: Cerebrovascular accident, Diabetes mellitus, Dyslipidemia, Hemorrhagic stroke, Hypertension, Ischemic stroke, Smoking
Authors and Affiliations
Madhura Talkad Lakshmikumar, Shruthi Bettegowda, Spandana Vuyyuru
Keywords
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