Trends of Cerebrovascular Diseases at Department of Neurology Tuzla (original) (raw)
Related papers
Clinical Pattern of Stroke and Distributions According to Age, Gender and Potential Risk Factors
Zenodo (CERN European Organization for Nuclear Research), 2018
Background: Stroke with mortality rate up to 25% is a fatal clinical syndrome. Most common risk factors are Hypertension, smoking, family history of stroke and diabetes mellitus. The objective was to study the pattern of brain strokes, areas and vascular territories of brain affected as per computerized tomography scan (CT scan) findings and risk factors in stroke patients admitted in Allied hospitals of Rawalpindi Medical University, Rawalpindi Methods: This descriptive cross-sectional study was conducted in Allied hospitals of Rawalpindi Medical College (RMC), Rawalpindi from September 2016 to February 2017 after taking ethical approval from Institutional Research Forum (IRF). All diagnosed cases of Stroke (Ischemic stroke or Hemorrhagic stroke) on the basis of Computerized Tomography Scan (CT-Scan) or Magnetic Resonance Imaging (MRI) admitted to Medical Units of Allied Hospitals of RMC were included in the study irrespective of their age and gender. A Structured Questionnaire designed according to the objectives of this study was used for data collection. SPSS (Version-22) for windows was used for analysis through frequencies, percentages and cross tabulations. Result: Out of 200 diagnosed cases of stroke 115 (57.5%) were males and 85 (42.5%) were females. Mean age of patients was 53.73 years. Regarding the types of stroke, predominance of ischemic stroke 121 (60.5%) was seen as compared to hemorrhagic stroke which constitutes of 73 (36.5%) of the cases and the remaining 6 (3%) were the cases where both types of stroke were diagnosed based on CT scan reports. Male predominance 66 (54.54%) was seen in Ischemic stroke as well as in Hemorrhagic stroke 48 (65.75%) as compared to females (Ischemic stroke 55 (45.50%) and Hemorrhagic stroke 25 (34.24%). Most common vascular territory involved in all types of stroke was of middle cerebral artery 115 (57.5%). Among Hemorrhagic stroke subarachnoid hemorrhage 49 (67.1%) was the most common site. In our study most common potential risk factors were Hypertension 115 (57.5%), Smoking 91 (45.5%), Family history of stroke 60 (33 %) and Diabetes 55 (27.5%). Conclusion: Most commonly ischemic stroke, with overall male predominance was seen in our study. Hypertension, smoking and diabetes were the most common modifiable risk factors. Vascular territory of Middle cerebral artery and subarachnoid area were most commonly involved regions of brain in stroke. More than 63 % of patients were above the age of 45 years.
Characteristics of stroke in young adults in Tuzla Canton, Bosnia and Herzegovina
Collegium antropologicum, 2013
The aim of the study was to analyze stroke in young adults in Tuzla Canton, Bosnia and Herzegovina. From January 2001 to December 2005, 3864 patients with first-ever stroke were admitted at the Department of Neurology Tuzla. A retrospective analysis of risk factors, stroke types, severity and one month outcome in all young adults (18-45 years of age) with first-ever stroke was carried out. Out of total, there were 154 (4%) young adults with stroke. Mean age was 38.8 +/- 5.7 years and 47% were women. The leading risk factors were smoking (56%) and hypertension (45%). Subarachnoid hemorrhage (SAH) was more frequent in young adults compared with older patients (> 45 years of age) (22% vs. 3.5%, p < 0.0001), intracerebral hemorrhage (ICH) was similar in both groups (16.9% vs. 15.8%, p = 0.7), but ischemic stroke (IS) was predominant stroke type in the older group (61% vs. 74%, p = 0.0004). Young adults had more frequent lacunar stroke (26.6% vs. 16.1%, p = 0.01) and stroke due to ...
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 2018
Background: Acute ischemic stroke is one of the major causes of disability and death worldwide. Effective prevention remains the best approach for reducing the burden of stroke. The aim of this work was to study the prevalence of stroke risk factors and the possible relation between such risk factors and the disease severity at presentation in a sample of stroke patients presented to Beni-Suef University Hospital, north Upper Egypt. Methods: A sample of 167 patients of acute ischemic stroke recruited from Beni-Suef University Hospital was included in this cross-sectional descriptive study. All subjects were subjected to history taking, clinical, laboratory, and radiological evaluation. Stroke severity and disability were evaluated by National Institute of Health Stroke Scale (NIHSS) and the modified Rankin Scale (mRS) respectively. Results: Hypertension was detected in 104 patients (62.3%), dyslipidemia was detected in 79 patients (58.1%), and 69 patients (41.3%) were smokers. Diabetes mellitus was detected in 58 patients (34.7%) with high prevalence of cardio-embolic risk factor, 36 patients (21.6%) had rheumatic heart, and 44 patients (26.3%) had atrial fibrillation. NIHSS score was significantly higher in hypertensive patients (P value = 0.023) and in patients who had carotid stenosis ≥ 50% (P value = 0.011), whereas there was no significant relation between NIHSS score and diabetes mellitus (P = 0.221), dyslipidemia (P = 0.834), patients with history of cardio-embolic stroke (P = 0.085), previous ischemic stroke (P = 0.316), or sex (P = 0.343). mRS score was significantly higher in patients with age > 45 years old (P < 0.001), hypertension (P < 0.001), cardio-embolic risk factor (P = 0.044), and carotid stenosis ≥ 50% (P = 0.017), whereas there was no significant relation between mRS score and diabetes mellitus, previous ischemic stroke, or sex. Conclusions: The most common risk factor for stroke was hypertension followed by dyslipidemia and then smoking with higher incidence of rheumatic heart diseases due to lowered living conditions. Age, hypertension, cardio-embolic risk factors, and carotid stenosis ≥ 50% have negative impact on stroke severity and disability.
Introduction: Stroke is a rapid loss of brain function due to disturbance blood flow to the brain. The existence of multiple risk factors, the length of their duration, and severity of each factor individually, is positively correlated with the occurrence of stroke. Stroke is the third cause of disability and premature death for men and women. Aim: The aim of this research is that through clinical and epidemiological studies the origin and development of stroke to inspect the same level of representation in the population of the Herzegovina-Neretva Canton. Material and methods: This survey covers the entire population of residents in the Herzegovina-Neretva Canton, and the number of patients who had a need for primary and secondary treating the symptoms of stroke. The very setting of this model of anthropological research modern human groups and theoretical estimates of the impact of genetic and / or environmental risk factors in the formation of phenotypic expression of complex traits of stroke, at the population level, resulted in the realization of the very methodology of this research. The study was conducted at the Mostar. These two health institutions, in addition to primary care are at the disposal for entire population of the Herzegovina-Neretva Canton and beyond. Data were collected by examining the details of the history of the board of hospitalized patients in the period from 1 January 2010–to 31 December 2014. The processed are 10 risk factors–potential causes of stroke. We also as research material, used records of hospital morbidity–the disease-illness statistics form (form number:). Results: In our study, stroke is the second most frequent in the period of investigation, and noted the rapid growth that is in 2010 and 10.21% to 14.52% in 2014. There was a slight statistically significant differences in relation to the number of infected men and women, and the same is in favor of the patients are female. The number of patients with ischemic stroke, 954 of them or 48.38% was male and 1,018 or 51.62% were female. Of the 10 possible risk factors, factor 6 has a statistically significant canonical factor value, of which hypertension–CVI and the level of P = 0009 *, p = secondary hypertension, 0034 *, hypertensive heart disease, p =, * 0021, Diabetes mellitus of P = 0029 *, p = Anemia, 0052 * and C-reactive protein (CRP) of p = 0049 *, respectively, these canonical factors carry the entire amount of information about the relations impact of certain risk factors in the onset and development of the brain shock. Conclusion: We conclude that there is a statistically significant correlation between the studied risk factors in the genesis of the origin and development of different types of stroke.
Magbool Alelyani et al; Sch J App Med Sci, Nov, 2020; 8(11): 2604-2608, 2020
Background: A stroke is a medical disorder in which inadequate flow of blood through the brain contributes to the death of cells. There are two kinds of common strokes, ischemic and hemorrhage. Hypertension, diabetes mellitus and cerebrovascular injury are the risk factors for strokes. This research aimed to classify the most common type of stroke as well as the common risk factors associated with it in one of Saudi Arabia's major hospitals, located in the city of Abha. Methods and materials: From 1/1/2018 to 1/10/2019, data was collected from 118 patients with stroke. Results: The most prevalent type of event was ischemic stroke (91%), with hemorrhagic stroke comprising the remainder (9%). In addition, hypertension was the most common risk factor for stroke. In addit ion, we found that stroke events associated with hypertension and diabetes in patients over the age of 70 were more likely to occur relative to younger patients, p>0.05. Further study showed no correlation betwe...
High Burden of Stroke Risk Factors in Developing Country: the Case Study of Bosnia-Herzegovina
Materia socio-medica, 2017
The burden of stroke has been increasing worldwide, especially in developing countries. Very few data regarding epidemiology of stroke are available in Bosnia and Herzegovina (BH). We undertook a retrospective hospital-based study in all hospitals existing in five cantons and one district of BH. The patients were recruited between January 1, 2014, and December 31, 2014, and only first-ever-in-lifetime strokes (FES) were included for evaluation. A FES was diagnosed in 1479 patients (age 71.83 ± 11.703 years) during the study period. FES occurred in 709 men (47.9%; age 69.64 ±12.002 years) and 770 women (52.1%; age 73.85± 11.051 years). Stroke was categorized into ischemic stroke (IS), primary intracerebral hemorrhage (PICH), subarachnoid hemorrhage (SAH) and cerebral venous thrombosis (CVT), which was diagnosed in 84%, 12,2%, 3,4% and 0,4% cases respectively. Early 28-day case-fatality was 18.5 % for all patients and both sexes combined. Short-term case-fatality was significantly gre...
Journal of the Neurological Sciences, 2017
The aim of this study was to compare characteristics of ischemic stroke between young (20-49 years) and old (50-89 years) patients undergoing investigations and treatment according to one common protocol in a tertiary hospital. Methods: This hospitalbased prospective study included 90 young and 130 old patients with acute ischemic stroke. Data regarding the etiology of the stroke, diagnostic test results and degree of functional improvement of patients were examined during their observation. Results: Common causes for stroke in the young patients were current smoking (53.3%), heavy alcohol consumption (51.1%), cardiac embolism (36.0%), migraine with aura (25.5%), infective diseases (15.6%), and oral contraceptive use (14.4%). Leading causes for ischemic stroke in old patients were the conventional risk factors such as hypertension (75.4%), atherosclerosis (66.9%), and diabetes mellitus (26.9%). Most of the young stroke patients demonstrated good functional outcomes, at the time of discharge (71.1%) and at three weeks (86.6%) according to the Rankin Scale. Conclusion: There are significant differences between young and old patients with ischemic stroke regarding to risk factors, etiological subtypes and improvement of functional deficits associated with the stroke.
Central Asian Journal of Medical Sciences
Objectives: The aim of this study was to compare characteristics of ischemic stroke between young (20-49 years) and old (50-89 years) patients undergoing investigations and treatment according to one common protocol in a tertiary hospital. Methods: This hospital-based prospective study included 90 young and 130 old patients with acute ischemic stroke. Data regarding the etiology of the stroke, diagnostic test results and degree of functional improvement of patients were examined during their observation. Results: Common causes for stroke in the young patients were current smoking (53.3%), heavy alcohol consumption (51.1%), cardiac embolism (36.0%), migraine with aura (25.5%), infective diseases (15.6%), and oral contraceptive use (14.4%). Leading causes for ischemic stroke in old patients were the conventional risk factors such as hypertension (75.4%), atherosclerosis (66.9%), and diabetes mellitus (26.9%). Most of the young stroke patients demonstrated good functional outcomes, at ...
Clinical Symptoms and Risk Factors Comparison of Ischemic and Hemorrhagic Stroke
Jurnal Kedokteran dan Kesehatan Indonesia, 2018
Backround: It is very important to know and detect various stroke symptoms because stroke is an emergency condition. Lack of knowledge about stroke symptoms leads to delay on stroke treatment. Objective: The aim of this study is to compare clinical symptoms and risk factors between ischemic and hemorrhagic stroke. Methods: This study was a case control study. The subjects in this study were ischemic and hemorrhagic stroke patients. Subjects' data were recorded in electronic stroke registry at Bethesda Hospital, Yogyakarta. Results: The most common clinical symptoms in both groups were limb weakness (76.4% vs 71.4%), whereas the rarest was face drooping (2% vs 3.6%). Hypertension was the most common risk factor in both group (48% vs 71.4%), whereas atrial fibrillation was the rarest. This study did not find the specific correlation between any clinical symptoms to ischemic stroke incidence, however, decrease a level of consciousness was significant to hemorrhagic stroke incidence (OR: 2.738, 95% CI: 1.503-4.990, p: 0.001). Previous stroke (OR: 2.413, 95% CI: 1.314-4.433, p: 0.005) and dyslipidemia (OR: 4.862, 95% CI: 2.613-9.045, p: 0.000) were significant increasing risk of ischemic stroke. Hypertension was only the significant increasing risk of hemorrhagic stroke (OR: 3.680, 95% CI: 2.086-6.492, p: 0.000). Conclusion: Decrease level of consciousness has a significant correlation to hemorrhagic stroke incidence, but there is no specific symptom correlate to ischemic stroke incidence. Previous stroke and dyslipidemia are significant risk factors for ischemic stroke, whereas hypertension is the only significant risk factor for hemorrhagic stroke. Latar Belakang: Sangat penting untuk mengetahui dan mendeteksi gejala stroke dengan segera karena penanganan stroke berpacu dengan waktu. Kurangnya pengetahuan mengenai gejala stroke akan mengakibatkan keterlambatan dalam penanganan stroke. Tujuan Penelitian: Penelitian ini bertujuan untuk mengetahui perbandingan gejala klinis dan faktor risiko pada pasien stroke iskemik dan stroke hemoragik. Metode: Penelitian ini menggunakan desain penelitian kasus kontrol. Subjek dalam penelitian ini adalah pasien stroke iskemik dan stroke hemoragik yang tergister elekronik di Rumah Sakit Bethesda, Yogyakarta. Hasil: Gejala klinis yang paling sering muncul pada kedua grup adalah kelemahan anggota gerak (76.4% vs 71.4%), sedangkan gejala klinis yang paling jarang adalah wajah perot (2% vs 3.6%). Hipertensi merupakan faktor risiko stroke yang paling sering dijumpai pada kedua grup (48% vs 71.4%), sedangkan atrial fibrilasi paling jarang dijumpai. Penelitian ini tidak menemukan adanya gejala khusus yang
Epidemiology of stroke in Shiraz, Iran
Background: Stroke is the main cause of physical disability and the second leading cause of death worldwide. Two-thirds of all strokes occur in the developing countries. Despite being preventable, stroke is increasingly becoming a major health issue in these countries. The aim of this study was to evaluate the epidemiology of stroke in Shiraz, Iran, one of the main referral centers in the southwestern part of Iran. Methods: A cross-sectional study was conducted on all stroke patients admitted to the Namazee Hospital, affiliated to Shiraz University of Medical Sciences, between August 2010 and January 2011. Patients' demographic data, atherosclerosis risk factors, type of stroke, drug history, outcomes, and neurological signs were recorded. Chi-square test, Kolmogorov-Smirnov test, t-test, and Mann-Whitney U-test were used to analyze the data. Results: A total of 305 patients with stroke, aged 27-97 years (mean ± SD = 68.33 ± 12.99), 269 patients (88.2%) had ischemic stroke (IS) and 36 (11.8%) had hemorrhagic stroke (HS). 133 patients (43.6%) were men and 172 (56.4%) were women. 11.4% of the patients with IS and 40.6% with HS died during hospitalization, causing 12.1% death in all stroke patients [Odds ratio (Or) = 5.34, 95% Confidence intervals (CI) = 2. 35-12.11]. Hypertension, ischemic heart disease, diabetes, and recurrent stroke were the most common risk factors.