Epidemiologic Study of the Main Risk Factors for one Year Ischemic Stroke and Surivial in Patients admitted to the neurology department of Ghayim Hospital in Mashhad, Iran, 2015

Abstract

Introduction: Stroke is the third most common cause of death in developed countries and is the most common neurological disabling disease. Today, several risk factors are known for stroke including lifestyle and risk factors such as hypertension and diabetes which differ in cultures and countries. The aim of this study was to determine the frequency of ischemic stroke in patients admitted to the brain department of Ghaem Hospital in 1395.
 Methods: In this observational cohort study, 201 cases of ischemic stroke who confirmed by neurologists as well as imaging techniques for diagnosis patients hospitalized to the neurology section of Ghaem Hospital, Mashhad, Iran During 1395. The Patients' information such as age, sex, and The place of living and also the type of stroke and its main risk factors, including history of stroke in the past, hypertension, diabetes mellitus, high blood sugar cigar and high blood lipids were extracted from their records and completed in the checklist. 1 year follow up performed by telephone calling. Data were analyzed and examined by SPSS 21 and statistical tests.
 Results: According to the analysis, except for the cigarette variable (P-value = 0.003) HDL and TG (P-value = 0.001), no significant relationship was found between the other risk factors of disease risk and sex. In this study, 201 patients with ischemic stroke were studied. The mean age of the participants in the study was 50.92 years. In this study, the prevalence of stroke in men were higher than that of women, 104 (51.7%) for males and 97 (48.3%) for women. In the study of the most important clinical risk factors for stroke, the results showed that the highest prevalence was hypertension in women with 68 (70.1%) and the least of them was smoking with 16 (16.5%). The mean annual death rate in this study was 15.9%, which did not have a significant relationship with sex groups.
 Conclusion: In this study, hypertension, having diabetes and high blood glucose levels were the most important risk factors for stroke in patients, these results are in accordance with the previous finding studies. Regarding the results, it seems that the control of blood pressure and diabetes is not effectively considered, which requires further investigation.

Designing and validating of a questionnaire measuring perceived self-care ability (PSCA) in chronic stroke patients at home

“…More than half of stroke survivors aged 65 and older experience mobility impairment [2]. Every day, 250 to 300 people in Iran suffer a stroke, which is a higher rate than in Western countries and occurs at a younger age [3]. Early assistance for stroke patients after discharge and continued rehabilitation increases satisfaction with rehabilitation and independence in performing self-care such as mobility, dressing, and personal hygiene, as well lessen the consequences of the illness such as speech impairment and depression [4].…”