Study of co-relation of Incidence of various risk factors with type of stroke in young patients at tertiary rural health care centre
DOI:
https://doi.org/10.21276/apjhs.2015.2.2s.1Keywords:
Stroke, Hypertension, family history, alcohol, Smoking, Diabetes, Sedentary lifestyle, Young patientsAbstract
Background: Stroke was the second most common cause of death worldwide in 2014, resulting in 5.7 million deaths. Though it principally occurring in the elderly, the young are not spared. This hospital based cross sectional study was conducted in tertiary rural health care teaching hospital of Ambajogai to Study co-relation of Incidence of various risk factors with type of stroke in young patients and the impact of these risk factors on young stroke. Method: This Study was done at the Department of General Medicine in Government tertiary rural health Care Hospital of Ambajogai. This hospital based cross sectional study included 50 cases (young stroke patients). This study was accomplished from October 2012 to December 2014 in rural tertiary health care hospital of Ambajogai. A proper detailed history, clinical examination and requisite investigations were used to collect data from all the cases which were recorded in the form of tables and graphs. The risk factors studied were Hypertension, Smoking, diabetes,sedentary lifestyle, use of alcohol, cardiac problems, B.M.I, diet, stress and family history of stroke. Anthropometric (weight, height, body mass index) measurements were done on all patients. The results were analyzed to assess the aetiology, risk factors, and the pattern of clinical and radiological profile. Results: Sex ratio in our study was 1.3:1 (male: female) with mean age in the study population of 31.92±8.59 years. Some risk factors were more associated with ischemic stroke and some were associated with hemorrhagic stroke. In present study we had compared risk factors with type of stroke in young patients with other similar studies. Hypertension (32%), Atherosclerosis (32%), cardiac problems (18%), diabetes mellitus (28.2%), smoking (36%) were significant risk factors. CT scan (brain) showed 60% of patients had infarction. Cortical venous thrombosis was seen in 18% of patients and intra cerebral haemorrhage was seen in 22%. Conclusion: Hypertension, Smoking, alcohol, diabetes, family history, homocysteinemia, coronary artery disease, sedentary lifestyle and cardiac problems have strong co-relation with Stroke in young population. For early diagnosis encourage younger generation for timely health checkup to detect these risk factors which will help to decrease morbidity and mortality in young population of rural areas.
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