Demographic And Clinical Patterns of Stroke in Emergency in A Tertiary Care Hospital in North India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 2
Abstract
Background: Ischemic stroke, a subtype of acute stroke is one of the leading causes of death and major cause of morbidity and mortality throughout the world. The incidence is increasing with a gradual increase in obesity, diabetes mellitus, dyslipidemia, hypertension, and some other cardiac problem. Objective: To find the demographic and clinical pattern of patients of stroke attending in the emergency medicine department. Methods: This was a cross sectional observational study conducted in the Emergency Department in a tertiary care hospital in north India. All eligible patients clinically diagnosed as stroke (As defined by WHO. A clinical syndrome consisting of rapidly developing clinical signs of focal (or global in case of coma) disturbance of cerebral function lasting more than 24 hours or leading to death with no apparent cause other than a vascular origin) were included in this study. Results: Out of the total stroke patients admitted, 60.2% were females and 39.8% were males. About one fourth of the patients were above 70 years of age (27.9%). Convulsions was the most common clinical features (23.4%) followed by altered sensorium (18.4%), instability of gait (16%), vomiting (7.8%) and headache (6.6%). Hypertension was found to be most common risk factor among the stroke patients (32.4%). Hemiplegia was most common neurological finding (63.9%). Conclusion: The incidence of stroke was in older patients. The most common risk factor was found to be hypertension. Suitable measures to reduce the stroke risk can be adopted as primary and secondary prevention in these cases.
Authors and Affiliations
Dr. Rajiv Ratan Singh Yadav, Dr. Shiv Shanker Tripathi, Dr. Sachin Avasthi, Dr. Deepak Malviya, Dr. Abhishek Chauhan
Keywords
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- EP ID EP592238
- DOI 10.9790/0853-1602051013.
- Views 46
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