Study of the profile of stroke in a tertiary-care hospital in the sub-Himalayan region in north India
Journal Title: International Journal of Medical Science and Public Health - Year 2015, Vol 4, Issue 1
Abstract
Background: Rapid urbanization of rural areas is predicted to increase the incidence of risk factors for vascular events such as stroke among the ruralites. A different culture, beliefs, terrain, and climatic conditions of Himachal Pradesh may have an impact on the pro fi le of stroke. Objectives: To study the pro fi le and the various risk factors of stroke in the sub-Himalayan region of north India. Material and Methods: It was an observational cross-sectional study conducted at the Department of Medicine, R.P. Government Medical College, Kangra, Himachal Pradesh, for a duration of 12 months, from June 2012 to May 2013. Consecutive patients presenting to the hospital with signs and symptoms of stroke were included in the study. Detailed history and clinical examination was carried out in all patients. CT scan, routine blood examination, and lipid pro fi le were evaluated in all patients. Results: Total number of patients who presented with stroke in a year was 374. It formed 4.0% of the total hospital admissions in medical wards. The mean age of stroke patients was 66.17 ± 12.9 years. Of the total patients, 254 (67.9%) were males and 120 (32%) were females; 127 patients (33.9%) presented between 6 am and 12 pm. The majority of patients presented in winter months, from November to January. Average delay in the presentation to hospital was 29 h. Only 79 (21.1%) patients presented within 3 h. Among the patients, 342 (91.4%) belonged to rural area, 61.4% had an infarct, and 38.6% had intracerebral bleed. The most common symptoms reported were weakness in 276 (73%) followed by speech abnormality in 53%. Hypertension as a risk factor was found in 174 (46.5%); 155 patients (41.4%) were smokers; and diabetes was present in 61 patients (16.4%). Average cholesterol level was 176 ± 54.99 mg/dl, and average triglyceride level was 339 mg/dl. Conclusions: The major strength in our study was the predominance of rural population. The state has witnessed an increase in the incidence of stroke. Elderly population is predominantly affected. Average delay in presentation was 29 h, which is substantially high. Majority of the events occurred in winter months.
Authors and Affiliations
Dhiraj Kapoor, Pankaj Gupta, Shyam Sundar, Rupinder Sharma, Ashish Dhiman, Vishnu Agarwal
Keywords
Related Articles
- EP ID EP106274
- DOI 10.5455/ijmsph.2015.3108201427
- Views 112
- Downloads 0
A clinical study on effects of iron deficiency anemia on cognitive function among undergraduate paramedical students
Background: Iron deficiency anaemia is a common health problem which affects overall body health and physical ability. Iron is an important key element for the brain function. Aims & Objective: To analyze the...
Prevalence of dyslipidemia and its associated factors among employees of primary health care centers, Jeddah, Saudi Arabia
Background: The prevalence of dyslipidemia is high and increasing in many developing countries, including Saudi Arabia because of the westernization of diet and other lifestyle changes. Objective: To estimate the preva...
Low back pain: Correlation with anxiety, depression, and well-being and the effect of homeopathic medicines on the physical signs of patients
Background: This study was intended to prove or disprove the accusations that the homeopathic medicines are nothing but placebo by evaluating the reduction in the physical signs in patients with pathological low back pai...
Does Eustachian tube patency affect the outcome of graft uptake rate and average audiological gain in Intact canal wall and Canal wall down Mastoidectomies – A study of 50 patients
Background: Cholesteatomatous otitis media is a surgical disease managed either by Intact Canal Wall (ICW) or Canal Wall Down (CWD) mastoidectomy, depending upon the extent of cholesteatoma. The status of the eustachian...
Epidemiology and outcome of ocular trauma among the road traffic accident cases attending a tertiary care hospital in Tripura
Background: Agartala is one of the fastest growing cities in India. With rapid increase in the number of bikes and other motor vehicles, road traffic accidents (RTA) are also increasing sharply. Ocular trauma and res...