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Prospective-Observational Study: Clinical and Demographic Profile of Acute Stroke Patients

2021; Medknow; Volume: 12; Issue: 4 Linguagem: Inglês

0976-2833

Rakesh Kumar, Rashmi Rashmi, K Kunal, Sagar Rajak, Sushant Kumar,

Acute Ischemic Stroke Management

Aim: The aim of this study to determine the clinical profile of acute stroke patients. Methods: This prospective, observational study was conducted in the Department of General Medicine, Vardhman institute of medical sciences, Pawapuri, Nalanda, Bihar, India A total of 100 consecutive patients with brain stroke who attended the emergency within 24 hours of stroke were studied. Results: Most of the patients were aged between 60 to 70 years (29%) and the mean age was 59.39±12.87 years. Majority of the patients (72%) were males and the male female ratio was 2.57:1. Investigations revealed anemia, raised total WBC count, hyperglycemia and raised BUN in 43%, 23%, 54% and 16% of the patients respectively. The most common comorbid condition was hypertension (36%) followed by hypertension with diabetes mellitus (17%). The other risk factors include dilated cardiomyopathy (DCM), ischemic heart disease (IHD), hypertension with IHD, hypertension with DCM, Diabetes with atrial fibrillation, diabetes with IHD. Most of the patients were conscious (55%), 20% were stuporous, drowsy, 15% were arousable, 6% were comatose, 3% were disoriented and 1% were drowsy. Tachycardia was noted in 5% of the patient, bilateral conducted sounds were noted in 15% of the patients and bilateral crept in 2% of the patients. Most of the patients had ischemic stroke (82%) while hemorrhagic stroke was noted in 18% of the patients. Conclusion: Ischemic stroke constitutes a larger percentage of stroke subtypes on this part of the country. Proper strategy to prevent and treat stroke is the need of the hour