FREQUENCY OF MODIFIABLE RISK FACTORS IN STROKE PATIENTS
Abstract
Background: Stroke is one of the common causes of admission in medical and neurology units in hospitals. The aim of this study was to find out the frequency of modifiable risk factors, and association of ischaemic stroke with these risk factors in stroke patients admitted in Ayub Teaching Hospital Abbottabad. Methods: This a cross-sectional descriptive hospital based study, carried out in medical units of Ayub Teaching Hospital, Abbottabad on 150 patients with stroke. Thorough history, clinical examination and appropriate investigations were performed to collect all the relevant information. CT scan was done to confirm the diagnosis. Results: Out of 150 subjects, 90 (60%) were males, while 60 (40%) were females. Ischaemic stroke was found in 105 (70%) patients and 45(30%) were having haemorrhagic stroke. The risk factors were hypertension in 127 (84.7%), diabetes 31 (20.7%), Coronary artery diseases 31 (20.7%), previous TIA/stroke 42 (28%), smoking 28 (16.7%) and obesity 16 (10.7%). Conclusion: There was no statistically significant association between risk factors and type of stroke except coronary artery diseases.
Keywords: Modifiable risk factors, Stroke, Coronary artery disease
References
Shah FU, Salih M, Saeed MA, Tariq M. Valididty of Siriraj stroke scoring. J Coll Physcians Surg Pak 2003;13:391-3.
Khan JA, Shah MA, Young stroke-clinical aspects. J Coll Physicians Surg Pak 2000;10:461-6.
World Health Organization (WHO). The Atlas of Heart Disease and Stroke. http://www.who.int/cardiovascular_diseases/resources/atlas/en/
Feigin VL. Stroke epidemiology in the developing world. Lancet 2005;365:2160-1.
Donnan GA, Fisher M, Macleod M, Davis SM. Stroke. Lancet 2008;371:1612-23.
Judith M, George AM, editors. The Atlas of Heart diseases and Stroke. World Health Organization and CDC, 1st ed. London; The Han Way Press London, 2004.
Farooq MU, Majid A, Reeves MJ, Birbeck GL. The epidemiology of stroke in Pakistan: past, present, and future. Int J Stroke 2009; 4:381-9.
Alam I, Haider I, Wahab F Khan W, Taqweem MA, Nowsherwan. Risk factors stratification in 100 patients of acutestroke, J Postgrad Med Inst 2004;18:583-91.
Murray CJ, Lopez AD. Mortality by cause for eight regions of the world:Global Burden of Disease Study. Lancet 1997;349:1269-76.
Feigin VL. Stroke epidemiology in the developing world. Lancet 2005;365:2160-61.
Elkind MS, Saco RL. Stroke. risk factors for stroke prevention. Semin Neurol 1998;18(4):429-40.
Jafar TH, Levey AS, Jafary FH, White F, Gul A, Rahbar MH, et al. Ethnicsubgroup differences in hypertension in Pakistan. J Hypertens 2003;21:905-12.
Jafar TH, Levey AS, White FM, Gul A, Jessani S, Khan AQ, et al. Ethnicdifferences and determinants of diabetes and central obesity among SouthAsians of Pakistan. Diabet Med 2004;21:716-23.
Straus SE, Magumdar SR, Mc Alistair FA. New Evidence for stroke prevention. JAMA 2002;288:1396-8.
K Bjartveit A, Tverdal. Health consequences of smoking 1-4 cigarettes per day. Tob Control 2005;14:315-20.
Kamal A, Aslam S, Khattak S. Frequency of risk factors in stroke patients admitted in DHQ Hospital D. I. Khan. Gomal J Med Sci 2010;8:200-3.
Feigin VL, Lawes CM, Bennett DA, Barker-Collo SL, Parag V. Worldwide stroke incidence and case fatality in 56 population basedstudies.A systemic review. Lancet Neurol 2009; 8:355-69.
Ahmed A, Yousuf M, Iqbal J, Khan MM. Frequency of known risk factors for stroke in poor patients of a teaching hospital in District Swat. J Saidu Med Coll 2007;1:52-6.
Peter O Okokhere, Idowu A Bankole, and Christian A Erohubie. Characteristics, risk factors and case fatality rate of stroke in hospitalized patients in semi-urban South-South Nigeria. SAGE Open Medicine 2013.
Abdul Razzaq, Mian Akhtar Ali Kakakhail, Fawad Ahmad, Mohammad Ishaq. Frequency of modifiable risk factors in stroke patients admitted to teaching hospitals in Bannu district. Gomal J Med Sci 2012;10(1):93-5
Amanullah, Nazir Shah, Shams-ur-Rehman, Salma Ataullah. Frequency of cerebral infarction and haemorrhage in the patients of stroke. J Ayub Med Coll Abbottabad 2009;21(4):102-5
Syed Riazul Hasan, Ahmad Salman Khan Ghouri. Frequency of known risk factors of stroke and its outcome in patients admitted in sindh government Qatar hospital Karachi. Pak J Med Sci 2007;23(4):634-6.
Neal B, MacMahon S, Chapman N. Effect of ACE inhibitors, calcium antagonists, and other blood-pressure-lowering drugs: results of prospectively designed overviews of randomized trials. Blood pressure Lowering Treatment Trialists Collaboration. Lancet 2000;356:1955-6.
Downloads
Published
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
