CLINICO-ETIOLOGICAL PROFILE OF FIRST-TIME STROKE PATIENTS PRESENTING TO A TERTIARY CARE HOSPITAL - A PROSPECTIVE OBSERVATIONAL STUDY

Dr.Viney Sambyal; Dr.Vishavdev Dhadwal

Volume : VIII, Issue : IV, April - 2019

CLINICO-ETIOLOGICAL PROFILE OF FIRST-TIME STROKE PATIENTS PRESENTING TO A TERTIARY CARE HOSPITAL - A PROSPECTIVE OBSERVATIONAL STUDY

Dr. Viney Sambyal, Dr. Vishavdev Dhadwal

Abstract :

Introduction: To initiate preventive and curative measures in stroke patients, it is critical that we understand the risk factors and etiological agents involved in stroke. In this study, we aimed to study the clinical profile of the first-time stroke patients presenting to our hospital, analyze possible etiological agents and identify the risk factors of stroke in these patients. Materials and Methods: We designed a cross-sectional study of stroke patients who presented to the Department of Medicine, GMC Jammu, from October 2018 to March 2019. We obtained history, clinical examination findings and sent blood and imaging investigations for all patients. Standard clinical definitions were used to assess the presence of clinical risk factors. Results: A prospective study on stroke was carried out for a period of 6 months (October 2018 to March 2019). A total of 436 patients from Medicine department of Govt: Medical College and Hospital Jammu, both from indoor and outdoor were enrolled in the study. The data was collected and evaluated by reviewing case ﬁles and patient interview using preformed proforma. Conclusion: This study gives us the clinico-etiological profile and risk factors present in stroke patients in our population. In our study, incidence of ischemic stroke was found to be higher. The occurrence of stroke steeply rises with age and was more common in male. The burden of stroke tends to be more in rural, illiterate, and low socioeconomic status population. The study reveals risk factors such as sedentary lifestyle, consumption of alcohol, tobacco smoking and underlying disease like hypertension, diabetes. Large-scale studies surveying stroke patients at multiple centers are needed to support our findings.