STROKE

A HOSPITAL BASED STUDY ON STRATIFICATION OF RISK FACTORS OF STROKE, ITS CLINICAL FEATURES AND RESPONSE TO TREATMENT IN MIRPUR AZAD KASHMIR

Abstract

The objective of the present study was to determine the risk factors of stroke, its
clinical features and response to treatment in Mirpur Azad Kashmir. Study Design: Prospective
observational study. Place and Duration of study: This study was conducted at Medical Wards
of DHQ Teaching Hospital Mirpur Azad Kashmir from March 2012 to January 2013. Patients and
Methods: Two hundreds patients with established diagnosis of stroke were selected. A
questionnaire was prepared in accordance with the objectives of the study. Questionnaire
contained detail history, general physical examination, and neurological examination.
Association of risk factors with stroke was also studied. Different clinical features were also noted
and response to the given treatment was checked by morbidity and mortality ratio. The data thus
obtained was subjected to statistical analysis. Results: One hundred and thirty two(66%) had
hypertension, fifty five(27.5%) were smoker, fifty three(26.5%) had diabetes, twenty five(12.5%)
had ischemic heart disease. In clinical features one hundred and two (51%) had headache, ninety
nine (49.5%) had hemiplegia, ninety four patients (47%) had loss of consciousness. On CT scan
finding one hundred and forty four patients (72%) had infarction while fifty six (28%) had
hemorrhagic stroke. After recommended treatment patients discharged were one hundred and
eighty two (91%) while eighteen(9%) died within a month. Conclusions: Hypertension, smoking,
diabetes are major modifiable risk factors, headache, hemiplegia, loss of consciousness are
major clinical features, chances of ischemic stroke are much more as compared to hemorrhagic.
Response to treatment is good.