Risk factors of hemorrhagic and ischemic stroke among hospitalized patients in Bangladesh - A case control study

Riaz, Baizid Khoorshid; Chowdhury, Susmita; Karim, Md Nazmul; Feroz, Salahuddin; Selim, Shahjada; Rahman, Matiur

doi:10.3329/bmrcb.v41i1.30231

Cited by 7 publications

(9 citation statements)

References 25 publications

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“…The case-control study by 0'Donnell et al [5] was the first to demonstrate a strong, statistically significant positive relationship between overall PSF and stroke (OR 2.20, 99% CI 1.78-2.72), among the classical risk factors for stroke. Among the case-control studies, 2 focused on psychological risks [57,58], 2 interpersonal risks [59,60], 2 social deprivation [61,62] and 1 looked at overall psychological risks [5] (Table 3) . The 2 meta-analyses [9,10] provided data on global psychosocial risk factors for stroke (Table 4).…”

Section: Resultsmentioning

confidence: 99%

A review of psychosocial factors and stroke: A new public health problem

et al. 2019

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Section: Resultsmentioning

confidence: 99%

A review of psychosocial factors and stroke: A new public health problem

et al. 2019

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“…Although most studies contained proportions of men and women between 40% to 60% 6,11,12, , eight cohort studies focused exclusively on men or women [42][43][44][45][46][47][48][49] . The cohort sizes ranged from 25 to 4718 participants 20,50 , while the case-control studies ranged in size from 346 to 26,949 41,51 . Length of follow-up ranged from 1 day to 35 years 11,31 .…”

Section: Study Characteristicsmentioning

confidence: 99%

Systematic Review and Meta-Analysis of Psychosocial Risk Factors for Stroke

et al. 2017

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Several studies have assessed the link between psychosocial risk factors and stroke; however, the results were inconsistent. We have conducted a systemic review and meta-analysis of cohort or case-control studies to ascertain the association between psychosocial risk factors (psychological, vocational, behavioral, interpersonal, and neuropsychological) and the risk of stroke. Systematic searches were undertaken in MEDLINE, EMBASE, CINAHL, PsycINFO, and the Cochrane Database of Systematic Reviews between 2000 and January 2017. Two reviewers independently screened titles, abstracts, and full texts. One reviewer assessed quality and extracted data, which was checked by a second reviewer. For studies that reported risk estimates, a meta-analysis was performed. We identified 41 cohort studies and 5 case-control studies. No neuropsychological papers were found. Overall, pooled adjusted estimates showed that all other psychosocial risk factors were independent risk factors for stroke. Psychological factors increased the risk of stroke by 39% (hazard ratio [HR], 1.39; 95% confidence interval [CI], 1.27–1.51), vocational by 35% (HR, 1.35; 95% CI, 1.20–1.51), and interpersonal by 16% (HR, 1.16; 95% CI, 1.03–1.31), and the effects of behavioral factors were equivocal (HR, 0.94; 95% CI, 0.20–4.31). The meta-analyses were affected by heterogeneity. Psychosocial risk factors are associated with an increased risk of stroke.

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“…Riaz BK published their case-control study on 171 participants of Bangladesh. 9 It was a triple arm with one control group and the case groups were hemorrhagic stroke (HS) and ischemic stroke (IS). Hypertension (OR 21 for HS and 1.8 for IS), diabetes mellitus (OR 1.3 for HS and 0.8 for IS) frequent fatty diet (OR 2.2 for HS and 1.5 for IS), low fruit consumption (OR 4.7 for HS and 3.5 for IS), betel nut chewing (OR 2.5 for HS and 1.9 for IS) and aspirin intake (OR 4.7 for HS and 2.3 for IS) showed more risk for HS in comparison to IS.…”

Section: Discussionmentioning

confidence: 99%

Risk factors of Hemorrhagic Stroke- a Case-Control Study in Bangladesh

KA¹,

Selina²,

MI³

et al. 2023

JSWMC

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Background: Spontaneous intracerebral hemorrhage is one of the leading causes of mortality and morbidity. Genetic factors play an important role in this disease. Among the non-genetic causes Hypertension (HTN), IDDM (insulin dependent diabetes mellitus), NIDDM (non-insulin dependent diabetes mellitus), family history of hemorrhagic stroke, smoking, previous history of ischemic stroke, alcohol intake and education level are important. Methods: The aim of the study was to evaluate the association between ICH and non-genetic risk factors. This was a case-control study with 120 participants. The place of the study was in the Neurosurgery department of Sylhet Women’s Medical College Hospital (SWMCH) and the study period was 2 years. Result: Alcohol consumption (RR=3, Odd=3.11) showed highest risk for ICH. Other risk factors of ICH were smoking (RR=2, Odd=2.36), family history (F/H) of ICH (RR=1.3, Odd=1.38), Hypertension (RR=1.1, Odd=1.39) and below 12 class education status (RR=1.08, Odd=1.63). The relative risk of IDDM, NIDDM, previous history (P/H) of ischemic stroke were less than 1. Conclusion: There are few controllable risk factors of hemorrhagic stroke apart from genetic risk factors.

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Risk factors of hemorrhagic and ischemic stroke among hospitalized patients in Bangladesh - A case control study

Abstract: The risk factor profiles, management and outcome have significant difference between stroke subsets.

Cited by 7 publications

References 25 publications

A review of psychosocial factors and stroke: A new public health problem

A review of psychosocial factors and stroke: A new public health problem

Systematic Review and Meta-Analysis of Psychosocial Risk Factors for Stroke

Risk factors of Hemorrhagic Stroke- a Case-Control Study in Bangladesh

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