STROKE

CLINICAL PATTERNS OF STROKE IN LAHORE GENERAL HOSPITAL, A TERTIARY CARE CENTER

Abstract

in the world. The aim of this study was to analyze different characteristics in
stroke patients in Medical Unit 1 of Lahore General Hospital, which is biggest referral hospital for
Neurology patients in Punjab, to identify the risk factors and help in targeting prevention in our
patients. Study Design: Descriptive study. Setting: Lahore General Hospital, Lahore. Period:
January 2016, including data from January to November 2015. Methods: The demographic
data, clinical manifestations, risk factors, side of weakness, cranial nerves involved, neurological
weakness and Glasgow Coma Scale, duration of stay in hospital and outcome were included
in the data. For the comparison between categorical variables Chi-square test was used. For
other variables, t-test was used. Results: A total of 235 patients with stroke, age 20 to 105
(mean ±SD= 58±14.6) were included. 127 (54%) had Ischemic stroke (IS) and 100 (42.6%)
had hemorrhagic stroke (HS). 127 (54%) were men and 108 (46%) were women. 17.9% of the
patients with IS and 21.7% of the patients with HS died (OR 0.65 95% CI 0.48-0.89). Hypertension,
diabetes and dyslipidemia were the most common risk factors. Conclusion: Burden of stroke is
high in Pakistan. Mean age of patients with stroke is less. Hypertension, diabetes, dyslipidemia
and smoking are highly prevalent and hypertension is the most common. Ischemic strokes are
more common, mortality of intra-cerebral hemorrhage is higher.