Assessment of Modifiable and Non modifiable Risk factors associated with acute stroke at Assuit university hospital (original) (raw)

CORRELATION OF STROKE RISK FACTORS ON STROKE EVENTS IN PROF. DR. H. ALOEI SABOE GORONTALO HOSPITAL PERIOD MARCH-DECEMBER 2018 Khoirunnisa

2020

Stroke is a health problem which has a high mortality rate that can cause long-term disability. In Gorontalo province, the prevalence of stroke based on diagnosis by health workers was 10.9%. Stroke risk factors are divided into two that can be modified and cannot be modified. This study aims to find out a description of the characteristics and an analysis of the factors that influence the incidence of stroke in Prof. dr. H. Aloei Saboe Gorontalo Hospital Period March December 2018. The research design was descriptive analytic observational with a cross sectional retrospective approach. The sample in this study was all patients with ischemic stroke and hemorrhagic stroke who were treated in the neurology inpatient of Prof. dr. H. Aloei Saboe Hospital by using consecutive sampling techniques that fulfill the inclusion criteria. In this study, a sample of 115 patients was obtained, with the highest proportion is male (62.6%), age classification 5665 years old (33%), elementary school ...

CLINICAL-EPIDEMIOLOGICAL STUDY ON STROKE PRESENCE IN THE POPULATION OF HERZEGOVINA-NERETVA CANTON INFLUENCED BY INVESTIGATED RISK FACTORS

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.

Risk Factors of Stroke in Medical Rehabilitation Center Unit, Dr. Wahidin Sudirohusodo Hospital, Makassar

International Journal of Sciences: Basic and Applied Research, 2015

Stroke is the second cause of death after heart disease in developed countries that tends to increase in developing countries including Indonesia, especially in big cities. In Makassar itself stroke especially in Hospital Dr. Wahidin Sudirohusodo the case is fluctuative every year. This study aims to determine the risk of the incidence of stroke in the Medical Rehabilitation Unit at the General Hospital Center Dr. Wahidin Sudirohusodo Makassar in the year of 2012. The study was observational using a case control study. The case was stroke patients and control was non stroke patients. The analysis used was odds ratio and logistic regression.wth value α = 0,05. The result of the study indicate that there is a significant correlation between stroke and hypertension OR = 36,938 CI 95% (10,566 – 129,137), heart disease OR = 4,105 CI 95% (1,622 – 10,387), Diabetes Mellitus OR = 3,088 CI 95% ( 1,257 – 7,590), Hiperkolesterolemia OR 7,497 CI 95% ( 3,236 – 17,365), smoking OR = 16,792 CI 95...

Risk factors of acute ischemic stroke in patients presented to Beni-Suef University Hospital: prevalence and relation to stroke severity at presentation

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.

Risk Factors and Warning Signs of Stroke: Cross Sectional Study

https://www.ijrrjournal.com/IJRR\_Vol.5\_Issue.10\_Oct2018/Abstract\_IJRR0014.html, 2018

Background: Stroke is the leading cause of adult disability and it kills about five million people each year making this the second major cause of death worldwide. The aim of the study was to assess the knowledge on risk factors and warnings of stroke among older adult. Methods: Community based cross sectional research design adopted to conduct the study with 60 samples who met inclusion criteria at rural community. Structured questionnaire was used to collect the data. Data were analyzed by using descriptive and inferential statistics. Results: The results of the study observed that around 50% of the samples had adequate knowledge on risk factors of stroke whereas only six (10%) of them had adequate knowledge on warning signs of stroke. Level of knowledge on warning signs of stroke is associated with the demographic variables such as age, education and health information obtained through mass media at the level of P<0.05. Conclusions: The study findings concluded that health education and health campaigns can provide with accurate and appropriate information regarding the warning signs of stroke and highlight the importance of early hospital presentation which prevents the severity illness and the disability associated with the stroke.

The Analysis of Hemorrhagic Stroke and Non-Hemorrhagic Stroke Risk

https://www.ijhsr.org/IJHSR\_Vol.12\_Issue.12\_Dec2022/IJHSR-Abstract27.html, 2022

Stroke is the disease that most often causes death in Indonesia. According to Riskesdas 2007, the prevalence of stroke in Indonesia is 8.3 per 1000. This study aims to determine differences in hypertension risk factors for ischemic and hemorrhagic stroke in stroke patients at UKI General Hospital in 2017. This research was conducted by analyzing secondary data from patient medical record status using a cross-sectional study design. The results showed that there were patients with ischemic stroke (85.8%) and hemorrhagic (14.2%) with hypertension (74.02%), and characteristics of age > 60 years (49.6%), male (59.1%) %), and most of the patients had high school education or more (63.0%). Based on the different test analyses, there was a statistically significant difference between the risk factors for hypertension in hemorrhagic and non-hemorrhagic strokes.

Prevalence of risk factors, population-attributable fraction and risk of stroke among Kaunas middle-aged population

The aim of the study was to assess the prevalence of risk factors, population-attributable risk fraction and prognosis of multiple risk factors for the risk of death from stroke among middle-aged Kaunas population during 1983–2003. Patients and methods. The random samples of men and women aged 35– 64 years were examined in MONICA-1, 2, 3 (n = 5437). The risk factors were assessed by the standard epidemiological questionnaire. New cases of deaths from stroke were registered from the beginning of every survey until December 31, 2003. During the follow-up period 85 deaths occurred: 45 in men and 43 in women. The Cox proportional hazards model was used to estimate the relative risks for death from stroke. The prevalence of arterial hypertension, physical inactivity, obesity, ischemic changes on electrocardiogram was higher among men who died of stroke as compared to men examined in the MONICA-1 survey. Results. The highest population attributable fraction of stroke was for ar-terial hyp...

Affecting Factors of Stroke Incidence : A Case Control Study

Kesmas: National Public Health Journal

The purpose of this study was to determine the factors that influence the incidence of stroke including smoking status, past hypertension , past diabetes, diet, physical activity, alcohol consumption. The design of this study is case control with a ratio of 1: 1. The total number of respondents is 132 people. Research subjects were selected using systematic random sampling. This research was conducted at Ngudi Waluyo Hospital in Wlingi. Blitar, Indonesia in October till November 2017. Bivariate analysis showed that factors significantly related to stroke were smoking status (p=0.011, OR=2.6), history of past hypertension (p=0.00, OR= 6), past diabetes (p=0.015 ; OR=5,7), and unhealthy diet (p= 0,00; OR = 5,7). Multivariate analysis showed that factors that significantly influence stroke are smoking, having hypertension in the past, and unhealthy diet.Conclusion of this study was smoking, having hypertension in the past, and unhealthy diet are factors that influence the incidence of...

Risk Factor based on the Type of Stroke at RSUD Dr. Soetomo, Surabaya, Indonesia

Indian journal of forensic medicine and toxicology, 2020

Introduction: Stroke defined as a disease due to the trouble in the blood circulation which affected by several risk factors. It consists of fixed factors and unfixed factors. The fixed factor such as age, and gender, while unfixed factors including hypertension, blood glucose level, dyslipidemia, and job. Aims: This research aims to identify the distribution type of stroke, and risk factor which affecting the stroke patients in the RSUD Dr. Soetomo, Surabaya. Method: Research was designed as descriptive research to the stroke patient in the RSUD Dr. Soetomo, Surabaya. Various data was collected including age, gender, job, blood pressure, blood glucose level, and lipid profile when patient involved in the hospital at the first time, history of smoking, history of stroke in family. All of stroke patients in the RSUD Dr. Soetomo, Surabaya within October-December 2018 was addressed as subject in this research. Result: Result showed that ischemic stroke had the highest incidence rate in the hospital (72,6%), most of patient of stroke are male (56,2%) with age in less 65 years old (72,6%). Both hypertension 37(50,7%) respondent and smoking 29 (39,73%) respondent are the highest modified risk factor in this research. In the ischemic stroke, hypertension (62,3 %) is the highest modified risk factor. Whilst, in the hemorrhagic stroke, smoking (35 %) is the highest modified risk factor.. Moreover, the highest risk factor in all type of stroke is in age less than 65 years old (72,6%). Conclusion: Number of ischemic stroke case is higher than hemorrhagic stroke. Hypertension is defined as the highest risk factor in hemorrhagic stroke, while smoking is the highest risk factor of ischemic stroke.

Epidemiology and Risk Factors of Stroke

2020

Background: Stroke is a deficit death without clear causes. Objective: This study is aimed at investigating the epidemiology of stroke, and its prevalence and risk factors in order to increase the awareness of people towards this problem. Methods: Search was done using different database as Medline, PubMed, and Science Direct with different keywords to identify the relevant articles published. Also, the search was conducted using the electronic library of Taibahu University for Health Sciences. Conclusion: The second leading cause of mortality worldwide is stroke and it represents the third leading cause of morbidity globally. The stroke risk factors are divided into non-modifiable and modifiable factors. The common non-modifiable factors which cannot be changed or controlled are transient ischemic attack and family history. Furthermore, the most prevalent modifiable risk factors are uncontrolled hypertension followed by uncontrolled diabetes. Moreover, physical inactivity, cigarett...