Clinical Profile and Risk Factors of Patients in Stroke: A Cross-Sectional Study.

Ramesh Raj Acharya1, Nikunja Yogi2, Susmita Khadka3, Dipak Kunwar4, Rajyashree Kunwar5, Rakshya Shrestha6, Adhyashree Karki7

1Department of Medicine. Manipal College  of Medical Sciences, Pokhara, Nepal.

2Department of Neurosurgery, Manipal College of Medical Sciences, Pokhara, Nepal.

3Department of Psychiatry, Interfaith Medical Center, Brooklyn, New York, USA

4Department of Psychiatry, Kathmandu University School of  Medical Sciences, Dhulikhel,Kavre, Nepal

5National Center for AIDS and STD Control, Save The Children, Nepal.

6Institute of Medicine, Maharajgunj, Kathmandu, Nepal

7Department of Gastroenterology, College of Medical Sciences, Bharatpur, Nepal.

Correspondence: 

Dr.Ramesh Raj Acharya

Lecturer, Department of Medicine.

Manipal College of Medical Sciences, Pokhara, Nepal.

Phone-9856039739

E-mail: acharyaramesh555@gmail.com

Abstract

Background:In the last few decades, the incidence of stroke has doubled in low- and middle-income countries, whereas, during the same period stroke incidence has declined by 42% in high-income countries. The major type of stroke is ischemic, which occurs in about 87% of all stroke cases. According to the Global Burden of Disease (GBD) study in 2010, out of 11 million ischemic strokes occurred, among them, 63% were from a low- and middle-income country. The present study aimed to investigate the clinical presentation and risk factors of stroke patients. Materials and methods: This is a descriptive cross-sectional study. Proforma was designed for socio-demographic factors and common risk factors for stroke. A Chi-square test was conducted for a bivariate relationship between clinical presentation and stroke type. Results: Altogether 50 participants were included in the study. Among them, 58% were age 65 and over,36% belonged to the age group 45 to 65 years and 6% belonged to the age group less than 45 years. Among the risk factors, the most common risk factor was hypertension (50%). Among the clinical presentation aphasia (46%) was the most common presentation, whereas, gait abnormality (6%) and eye gaze impairment (6%) were the least common presentation. Headache and speech abnormality was significantly associated with stroke type. Conclusion:Headache and speech abnormality are significantly associated with different types of stroke.

 

Key words: Headache, Hypertension, Risk factors, Speech, Stroke