Analysis of Sociodemographic and Clinical Factors Associated with Hospitalized Stroke Patients of Bangladesh

Abstract

A hospital based cross sectional study was carried out to analyze prevalence of risk factors for stroke in hospitalized patient in a medical college hospital. 100 patients were chosen using purposive sampling technique. Highest incidence of stroke was between the 6th and 7th decade. Patients came from both urban (54%) and rural (46%) areas and most of them belong to the low-income group (47%). In occupational category; service holder (28%) and retired person (21%) were the highest groups. Most of the study subjects were literate (63%). CT scan study revealed that the incidence of ischaemic stroke was 61% and haemorrhagic stroke 39%. Analysis indicated hypertension as major risk factor for stroke (63%) and major portion of the patients (42.85%) were on irregular or no treatment. Twenty four percent of the patients had heart diseases and out of 24 patients 45.83% were suffering from ischaemic heart disease. The present study detected diabetes in 21% patients. Fifty three percent of the study subjects were smoker, 39% patients had habit of betelnut chewing. Out of 26 female patients, only 23% had history of using oral contraceptives. Majority of the patients were sedentary workers (46%). Thirty seven percent of the stroke patients were obese. Among the stroke patients 9% had previous history of stroke and 3% had TIA respectively. Most of the patients (21%) were awake while they suffered from stroke and the time of occurrence was mostly in the afternoon (46%). This study found that hypertension, cigarette smoking, ischaemic heart disease and diabetes mellitus are the major risk factors prevalent in our community while other risk factors demand further study.

Clinical Presentation and Risk Factors of Stroke-A Study of 100 Hospitalized Stroke Patients in Bangladesh

“…The Copenhagen stroke study has shown that in 1135 acute stroke patients, 233 (20%) were suffering from diabetes mellitus 8 which is similar to our result. This results also correlates with the study of AM Hossain et al 7 (21%) and with MR Siddique et al 9 (11%). This result also correlates with the study in India 10 .…”

“…Our study had showed that 6% had heart disease (4% valvular heart disease and 2% ischaemic heart disease). This was much less than that of AM Hossain study 7 and of Hayee study 15 .…”

Comparison of Personal Profile and Risk Factors between Patients with Ischaemic and Haemorrhagic Stroke

“…Average monthly income of the majority group was less than TK 5000 in a study. 6 The present study showed that the study population resided almost equally in rural and urban areas. Majority of the stroke patients of the present study were found to be married.…”

Discontinued Anti-Hypertensive medication: a case control study on the stroke patients

“…The burden of the disease is increasing both in our country and globally 2,3 . In Bangladesh, there is no adequate data on incidence and mortality from stroke 4 . The American Health Association estimates that 780 000 strokes occur each year; 600,000 of these are new strokes, and 180,000are recurrent strokes 5 .…”