A PROSPECTIVE STUDY ON CLINICAL PROFILE OF STROKE IN A TERTIARY CARE HOSPITAL
Chachu Kuriakose*, Anu Mariya Saji, Ganga T. R., Rinsu Sosa John, Hanumanthachar Joshi, Basavanna P. L.
ABSTRACT
Objectives: To determine the clinical profile and to assess the quality of life on basis of activities of daily living in Stroke patients. Methods: A prospective observational study was carried for a period of 6 months in a tertiary care Hospital, Mysuru. A total of 202 inpatients were included in the study on basis of inclusion criteria. The data were collected by reviewing patient reports and was statistically analysed using IBM SPSS Statistics software version 20.0. Results: The incidence of ischemic stroke (81.1%) was higher than that of hemorrhagic stroke (18.8%) and the occurrence increases with age having a mean of 62.14±13.9 and 61.13±12.9 years respectively. Hypertension, diabetes mellitus, smoking, alcoholism, past history and family history of stroke were the major risk factors. The time onsets for ischemic and hemorrhagic stroke were 6am-12pm (51.2%) and 12pm-6pm (39.4%) respectively. Neurological severity was assessed using National Institute of Health Stroke Scale (NIHSS) and showed moderate to severe deficit (44.5%) in ischemic and moderate deficit (50%) in hemorrhagic stroke. Quality of life (QOL) was assessed using Barthel Index and Modified Rankin Scale. Prescribing trends among ischemic stroke were osmotic diuretics (86.5%), antiplatelets and hypolipidemics (73.7%) whereas for hemorrhagic stroke were osmotic diuretics (92.1%), antihypertensives (76.3%). Conclusion: Identification of risk factors quantifies the stroke risk and effective management with lifestyle modification could reduce the incidence rate.
Keywords: Stroke, Ischemic, Hemorrhagic, Quality of life.
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