Prevalence of Stroke Risk Factors and Their Distribution Based on Stroke Subtypes in Gorgan: A Retrospective Hospital-Based Study—2015-2016

Abstract

Background Stroke is a leading cause of death and disability worldwide. According to the Iranian Ministry of Medical Health and Education, out of 100,000 stroke incidents in the country, 25,000 lead to death. Thus, identifying risk factors of stroke can help healthcare providers to establish prevention strategies. This study was conducted to investigate the prevalence of stroke risk factors and their distribution based on stroke subtypes in Sayad Shirazi Hospital, Gorgan, Northeastern Iran. Material and Methods A retrospective hospital-based study was conducted at Sayad Shirazi Hospital in Gorgan, the only referral university hospital for stroke patients in Gorgan city. All medical records with a diagnosis of stroke were identified based on the International Classification of Diseases, Revision 10, from August 23, 2015, to August 22, 2016. A valid and reliable data gathering form was used to capture data about demographics, diagnostics, lifestyle, risk factors, and medical history. Results Out of 375 cases, two-thirds were marked with ischemic stroke with mean ages (standard deviation) of 66.4 (14.2) for men and 64.6 (14.2) for women. The relationship between stroke subtypes and age groups (P=0.008) and hospital outcome (P=0.0001) was significant. Multiple regression analysis showed that hypertension (Exp. (B) =1.755, P=0.037), diabetes mellitus (Exp. (B) =0.532, P=0.021), and dyslipidemia (Exp. (B) =2.325, P=0.004) significantly increased the risk of ischemic stroke. Conclusion Overall, hypertension, diabetes mellitus, and dyslipidemia were the major risk factors of stroke in Gorgan. Establishment of stroke registry (population- or hospital-based) for the province is recommended.

Acute Kidney Injury in Acute Stroke in Relation to Immediate Outcome- A Hospital Based Study

“…In the present study, total number of subjects in age group, ≥70 years, 60-69 ears, 50-59 years, 40-49 years and <40 years were 31%, 38%, 20%, 8% and 3% respectively. However, Mahdi Habibi-Koolaee et al 10 observed that most of the study subjects were aged more than 70 years and comprised of 43% of the study population. Population aged <40 years, 40-49 years, 50-59 years and 60-69 years comprised of 3.2%, 8.8%, 19.7% and 25.3% respectively.…”

Epidemiology and Risk Factors of Stroke in Tabriz, Iran: A Population Based Study

“…Finally, 624 firstever strokes occurred in the study period and a crude annual incidence rate of first-ever stroke (FES) (139; 95% CI, 128-149) per 100 000 residents was seen. When this rate was adjusted for European people aged 45 to 84 years, it increased to 616 (95% CI, 567-664) for ischemic stroke, 94 (95% CI, 75-113) for intracerebral hemorrhage, and 12 (95% CI, [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] for subarachnoid hemorrhage per 100,000. In the other hand, age-specific incidences in younger patients was higher than in Western countries.…”

“…There are large geographic variations in stroke incidence and mortality around the world. Most reported information about stroke incidence and prevalence in Iran has historically been based on stroke patients admitted in hospitals [4][5][6][7][8][9][10][11]. However, hospital-based studies usually cannot show real incidence and prevalence rates; population-based studies can report these more reliably.…”

Profile of Patients with Stroke in Western Region of Nepal: A Hospital based Retrospective Study

“…9 Most common risk factors are hypertension, diabetes, alcohol, smoking and dyslipidemia among elderly stroke patients. [10][11] Since the incidence of stroke is increasing in our context, the study aims to identify various factors associated with stroke.…”