A PROSPECTIVE STUDY ON CLINICAL PROFILE OF STROKE PATIENTS ATTENDING IN A TERTIARY CARE HOSPITAL OF GUWAHATI, ASSAM.

Dr. Dhrubajyoti Choudhury, Dr. N. C. Borah, Dr. P. S. Deb, Dr. Amit Ranjan Baruah, Dr. Kinzang Wangda, Dr. Jaiprakash Sharma, Dr Pari Kemprai

Abstract


Cerebrovascular disease include most common devastating disorders :ischaemic stroke and haemorrhagic stroke.The
incidence of cerebrovascular disease increases with age and the number of strokes is projected to increase as the
elderly population grows.A stroke is the second leading cause of death worldwide. Some of the Indian studies have
shown a stroke prevalence of 471.58/100000 population.
OBJECTIVE: To study the clinical presentation, risk factors, neurological presentation, pattern of brain strokes, areas of
brain affected as per CT/MRI Brain scan findings in a newly admitted patients in GNRC Institute of Medical Sciences,
North Guwahati,Assam.
METHODS: This is a prospective study included all new patients with stroke admitted in ICU and Ward under Neurology
Department of GNRC institute of Medical Sciences ,North Guwahati,Assam, from 1st August,2018 to 31st July ,2019.
RESULTS: The cerebrovascular strokes are more common in males (64.4%) than females (35.6%). Most common age
group was 58-67 years (28.29%). Most common clinical feature was hemiplegia (71.21%). Most common risk factor was
Hypertension (89.51%) followed by diabetes mellitus(51.70%) . Most common type of stroke was haemorrhagic
(60.24%) followed by ischaemic (39.75%). In stroke infarct most common involved areas were parietal (13.65%). In
hemorrhagic stroke most common site was basal ganglia (21.95%) followed by thalamus (10.97%).
CONCLUSION: Males were more commonly affected with cerebrovascular accident with hypertension was the most
common risk factor among the stroke patients and most common type of stroke was haemorrhagic.


Full Text:

PDF

References


Bonita R, Beaglehole R. Stroke prevention in poor countries. Time for action. Stroke. 2007;38:2871-2.,

International Journal of Advances in Medicine ,Patne SV et al. Int J Adv Med. 2016 Aug;3(3):666-670.

Adams and Victor’s –Principles of Neurology Tenth Edition,Chap-34,Cerebrovascular Diseases,Pag no-778.

Harrison’s Principle Internal Medicine ,19th Edition ,Chap-446,Cerebrovascular Diseases,Pag no-2559.

S. Hartona. Experiences from a multicenter stroke register: a preliminary report. Bull WHO. 1976;54(5):541-53.

R. P. Eapen, J. H. Parikh, N. T. Patel. A study of clinical profile and risk factors of cerebrovascular stroke. Guj Med J. 2009;64(2):47-54.

Prasad Kameshwar, Singhal Kapil K. Stroke in young: an Indian perspective. Neurol India. 2010;58(3):343-50.

Feigin V, Lawes C, Bennet D, Barker Cello S, Parag V. Worldwide stroke incidence and early case fatality in 56 population based studies: a systematic review. Lancet Neurol. 2009;8(4):355-69.

Maskey A, Parajuli M, Kohli SC. A study of risk factors of stroke in patients admitted in manipal teaching hospital, Pokhara. Kathmandu Univ Med J (KUMJ). 2011 Oct-Dec;9(36):244-7.

Chirayu V. Vaidya1*, Drusty K. Majmudar2 . A retrospective study of clinical profile of stroke patients from GMERS Medical College and Hospital, Gandhinagar, Gujarat,. International Journal of Clinical Trials | July-September 2014 | Vol 1 | Issue 2:62-66.

Aiyar et al. A study of clinic-radiological correlation in cerebrovascular stroke (A study of 50 cases). Guj Med J. 1999 Mar;52:58-63.

P. Chitrambalam, Dipti Baskar, S. Revathy. A study on stroke in young and elderly in Rajiv Gandhi government general hospital, Chennai. Int J Clin Med. 2012;3:184-9.

Patne SV et al. Study of clinical profile of stroke patients in rural tertiary health care centre, Int J Adv Med. 2016 Aug;3(3):666-670.

Abdul-Rahman Sallam, Khalid Al-Aghbari. The clinical profile of stroke: a Yemeni experience. J Med J. 2009;43(2):115-21.

S. K. Das, T. K. Banerjee, A. Biswas, D. K. Raut, C. S. Mukherjee, A. Chaudhari, et al. A prospective com-munity based study of stroke in Kolkata, India. Stroke. 2007;38(3):906-10.


Refbacks

  • There are currently no refbacks.