Smokeless Tobacco and Stroke - A  Clinico-epidemiological Follow-up Study  in A Tertiary Care Hospital

Jena, Subhransu Sekhar; Kabi, Shobhitendu; Panda, Baikuntha Nath; Kameswari, B.; Payal, .; Behera, Ishwar Chandra; Tripathy, Subrat Kumar; Mahanta, Seemanchana

doi:10.7860/jcdr/2016/21763.8756

Cited by 6 publications

(5 citation statements)

References 34 publications

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“…19 Use of smokeless tobacco was 12% in our study suggested similar findings where smokeless tobacco was an important etiological factor for young ischemic stroke. 20 Use of alcohol was 10% and smoking was 28% in our study. A study by reported 10 and 6 fold increase in risk with alcohol and smoking respectively.…”

Section: Discussion:-supporting

confidence: 45%

Study of Plasma Fibrinogen Levels in Acute Stroke

Jain¹,

Tilgam²

2022

IJAR

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Background: Stroke is a disease of paramount public health significance. The role of plasma fibrinogen in determining incidence and severity of stroke has been postulated time and again. Present study was undertaken to determine the correlation between mean plasma fibrinogen level and infarct volume on CT scan in patients with acute stroke. Methods: Source of data: Plasma fibrinogen of 50 consecutive patients presenting with acute stroke admitted in Netaji Shubhas Chandra Bose Medical College & Hospital, Jabalpur from March 2019 to August 2020 and compared with 50 controls not suffering from stroke with matched age, sex and risk factors (controls) such as heart disease, hypertension, Diabetes and obesity, smoking and use of alcohol. Method of collection of data. The study will be carried out on 50 consecutive patients admitted to N S C B Medical College & Hospital, Jabalpur with acute stroke within 24 hours of the onset of symptoms. Detailed history will be taken to find out the risk factors such as hypertension, diabetes, smoking and alcohol consumption. Hypertension will be diagnosed by JNC VII criteria. Diabetes will be diagnosed by American Diabetes Association criteria. Smoking will be recorded in terms of number of cigarette pack years smoked. Thorough general and systemic examination will be carried out. In addition to routine investigations as per standard protocol in the evaluation of stroke patient, fasting plasma fibrinogen level is estimated and compared to age sex and risk factors matched controls. Result: In this study Fibrinogen levels among patients of stroke were estimated. Data on demography (age, sex, habit of smoking, tobacco and alcohol) and clinical parameters (BMI, heart disease, Hypertension and Diabetes) was also collected. All 50 patients of stroke cases was compared with 50 control subjects, matched for age, sex, obesity, clinical parameters like heart disease, hypertension and diabetes and also for habits of smoking, tobacco use and alcohol.

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Section: Discussion:-supporting

confidence: 45%

Study of Plasma Fibrinogen Levels in Acute Stroke

Jain¹,

Tilgam²

2022

IJAR

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“…This is in accordance with the fact that smokeless tobacco is the major form of tobacco which is used in this region of the country. [ 17 ] Furthermore, use of paan and gutkha has been reported to be associated with the periodontal disease as seen in the brick kiln workers. [ 18 19 ] Tobacco smoking is one of the risk factors for periodontal disease and has a substantial bearing on the initiation, progress and treatment results of periodontal disease.…”

Section: Discussionmentioning

confidence: 99%

Oral hygiene status, oral hygiene practices and periodontal health of brick kiln workers of Odisha

Baishya

Satpathy

Nayak

et al. 2019

J Indian Soc Periodontol

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Aim and Objective:The aim of this study was to assess the oral hygiene status, oral hygiene practices, and periodontal health among brick kiln workers of Odisha.Materials and Methods:Four hundred and eight subjects (300 males and 108 females) between the ages of 22 and 65 years with mean age of 33.44 ± 2.34 years working in various brick kilns in the district of Khordha, Odisha, participated in the survey. Data were collected through personal interview and clinical examinations.Results:Overall prevalence of periodontal diseases among brick kiln workers was 86.27%. There was a statistically significant difference in the distribution of Community periodontal index (CPI) (P < 0.001) and loss of attachment score scores (P < 0.001). Periodontal disease was significantly associated with age, oral hygiene status, practices, and tissues abuse habits. Most of the workers were males (59%), in the age group of 30–40 years (40.69%), having only a primary level of education (75.98%) and were married (80.88%). Majority of the workers brushed their teeth once daily (78.9%) with toothbrush (51.5%) and used toothpaste (41.2%). Most of them were found to be consuming paan or gutkha as compared to cigarette or beedi smoking. Among the subjects with a CPI >2, higher prevalence of periodontal disease was seen in subjects older than 50 years of age (86.7%), those brushing once daily only (75.2%), brushing with finger (82.8%), with higher frequency and duration of consumption of tobacco and alcohol, and having a poor oral hygiene (85.5%).Conclusion:The survey among brick kiln workers revealed that the oral hygiene status was poor, they had ill-informed oral hygiene practices and most of them were suffering from periodontal disease.

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“…In India, ST products are used in different forms such as mishri, gul, mawa, snus, areca nut, slaked lime preparations, paan masala and paan with tobacco. 8,9 In present study, pan and gutkha was the most commonly used form (55.6%). The prevalence of ST consumption in India was 20%.…”

Section: Discussionmentioning

confidence: 53%

Impact of smokeless tobacco products on myocardial infarction and stroke and it’s prognostic significance

Behera

Padhi

2019

Int J Adv Med

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Background: The use of smokeless tobacco (SLT) predates smoking and its effects on the health of the individuals is very much similar tobacco smoking. The present study was done with the aim to find out independent prognostic significance of ST products on disease outcome like myocardial infarction and stroke.Methods: This prospective study was done on the patients attending to the Department of Internal Medicine, Institute of Medical Sciences and SUM Hospital, Bhubaneswar with complaints suggesting of coronary artery disease and stroke during the period from July 2016 to June 2018. The exposure of risk factors and confounding factors are detailed and collected from the patients by using predesigned questionnaire. All the data was analysed by using SPSS version 20.Results: During the study period a total of 423 patients were included in the study. Mean average age of the participants was 56.58±11.23 years. Male preponderance was seen in the study. Out of total patients, myocardial infarction was noticed in 49 and stroke in 64 patients. SLT was used by 323 (76.4%) users. Among SLT both gutkha and pan was most commonly used (55.6%). Among them hypertension and diabetes were seen in 193 and 184 patients respectively. Risk of incidence of CVA and stroke was found to be more among SLT users compared to non-users.Conclusions: SLT is considered to be an important etiological factor for the incidence of myocardial infarction and stroke. There is an urgent need to increase clinical interventions and awareness in public to decrease SLT addiction.

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Smokeless Tobacco and Stroke - A Clinico-epidemiological Follow-up Study in A Tertiary Care Hospital

Cited by 6 publications

References 34 publications

Study of Plasma Fibrinogen Levels in Acute Stroke

Study of Plasma Fibrinogen Levels in Acute Stroke

Oral hygiene status, oral hygiene practices and periodontal health of brick kiln workers of Odisha

Impact of smokeless tobacco products on myocardial infarction and stroke and it’s prognostic significance

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