In-Hospital Outcome of Stroke at a Divisional Hospital of Pakistan

Abstract

Background: Stroke having two major types, is a clinical presentation which presents loss of brain function; risk factors & complications may vary and which ultimately can lead to death Objective: To determine stroke outcome and its association with factors and complications. Methods: Observational cross-sectional study, conducted from Nov 2015 to Aug 2016 at DHQ Teaching Hospital, KMU Institute of Medical Sciences, Kohat. A pre-designed questionnaire was adopted for data extraction. SPSS 25.0 was used; descriptive and inferential statistics were applied where needed Results: From 100 patients, male were 54% with mean age of 67.48±13.77 years, having 88% Ischemic stroke patients. Hypertension (79%) and family history (39%) were major risk factors while constipation (59%) and aspiration pneumonia (44%) were major complications with in-hospital mortality of 10%. The factors had a higher Prevalence Ratio (PR) for drug abuse (1.330), hypercholesterolemia (1.166), and hypertension (1.036) in ischemic stroke, while in hemorrhagic stroke PR was high for family history (1.918), heart diseases (1.173) and sedentary lifestyle (1.030). In complication, ischemic stroke had a higher PR for constipation (0.996), while hemorrhagic stroke had a higher PR for bed sores (3.286). The results shows an overall mortality of 10% only. Conclusion: The study concluded in-hospital mortality with ischemic stroke more common then hemorrhagic stroke. Hypertension and constipation were a prevalent risk factor and complication respectively. Family history, heart diseases, sedentary lifestyle and all complications were associated more with the hemorrhagic stroke while all other risk factors and no complications had a higher association with ischemic stroke.