Stroke Risk Factors in Public Sector Hospitals, Peshawar
DOI:
https://doi.org/10.37762/jgmds.6-2.96Keywords:
Stroke, Hypertension, Obese, Diabetes, SmokingAbstract
OBJECTIVES:
To determine the incidence of risk factors regarding stroke amid diagnosed patients in public sector hospitals of Peshawar.
METHODOLOGY:
The study design was cross sectional. Duration of the study was from May till August 2018. It was conducted in two public sector hospitals of Peshawar (Khyber Teaching Hospital and Lady Reading Hospital). A total of 300 patients participated after taking informed consent. Convenient sampling technique was used. Data was entered in excel sheets and then imported for analysis in SPSS version 21.
RESULTS:
Study results showed that 62% patients were males and 38% were females. Males age distribution less than 40 years were 24% and more than 41 years were 76%. Similarly, females were 21% and 79% respectively. Major medical risk factors found were hypertension, diabetes and cardiovascular diseases. The environmental risk factors were physical inactivity, smoking and obesity. The less common risk factors were alcohol and oral contraceptive use.
CONCLUSION:
The identified medical risk factors in the study can be improved and modified by regular check-ups and drug compliance. However, the environmental factors including physical inactivity, smoking and obesity can be reversed by acquiring healthy lifestyles.
KEYWORDS: Stroke, Hypertension, Obese, Diabetes, Smoking
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Park K. Park’s Textbook of Preventive and Social Medicine. Jabalpur: M/s Banarsidas Bhanot Publishers; 2010
Schellinger PD, Kaste M, Hacke W. An update on thrombolytic therapy for acute stroke. Current Opinion Neurol. 2004;17(1):69-77 DOI: https://doi.org/10.1097/00019052-200402000-00012
Benjamin EJ, Muntner P, Alonso A, Bittencourt MS, Callaway CW, Carson AP, et al. Heart disease and stroke statistics-2019 update: a report from the American Heart Association. Circulation. 2019;139(10): e56-528
Nomani AZ, Nabi S, Badshah M, Ahmed S. Review of acute ischemic stroke in Pakistan: progress in management and future perspectives. Stroke Vasc Neurol. 2017;2(1):30-9 DOI: https://doi.org/10.1136/svn-2016-000041
Khealani BA, Hameed B, Mapari UU. Stroke in Pakistan. J Pak Med Assoc. 2008;58(7):400-3
Kamal AK, Itrat A, Murtaza M, Khan M, Rasheed A, Ali A, et al. The burden of stroke and transient ischemic attack in Pakistan: a community-based prevalence study. BMC Neurol. 2009;9(1):58 DOI: https://doi.org/10.1186/1471-2377-9-58
Cao G, Liu W, Bi Q. Stroke in patients with infective endocarditis: a 15-year single-center cohort study. Eur Neurol. 2018;80(3-4):171-8 DOI: https://doi.org/10.1159/000495149
McManus M, Liebeskind DS. Blood pressure in acute ischemic stroke. J Clin Neurol. 2016;12(2):137-46 DOI: https://doi.org/10.3988/jcn.2016.12.2.137
Zafar S, Bashir A, Saleem K, Arshad R, Siddique S, Rashid A. Ischemic stroke: risk factors and prediction of length of stay in hospital. Pak J Med Health Sci. 2019;13(2):327-9
Li J, Yang XZ, Wang YP, Chen XL, Zhang X. Three-case report of embolic stroke of undetermined source. J Stroke Cerebrovasc Dis. 2017;26(7):e133-7 DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.04.009
Duarte MM, Geraldes R, Sousa R, Alarcão J, Costa J. Stroke and transient ischemic attack in Takayasu's arteritis: a systematic review and meta-analysis. J Stroke Cerebrovasc Dis. 2016;25(4):781-91 DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.12.005
Boehme AK, Esenwa C, Elkind MS. Stroke risk factors, genetics, and prevention. Circ Res. 2017;120(3):472-95 DOI: https://doi.org/10.1161/CIRCRESAHA.116.308398
Khan MI, Khan JI, Ahmed SI, Ali S. The epidemiology of stroke in a developing country (Pakistan). Pak J Neurol Sci. 2019;13(3):30-44 DOI: https://doi.org/10.1016/j.jns.2019.10.476
Deoke A, Deoke S, Saoji A, Hajare S. Profile of modifiable and non-modifiable risk factors in stroke in a rural based tertiary care hospital–a case control study. Glob J Health Sci. 2012;4(3):158-63 DOI: https://doi.org/10.5539/gjhs.v4n3p158
Samai AA, Martin-Schild S. Sex differences in predictors of ischemic stroke: current perspectives. Vasc Health Risk Manag. 2015; 11:427-36 DOI: https://doi.org/10.2147/VHRM.S65886
Roy-O’Reilly M, McCullough LD. Age and sex are critical factors in ischemic stroke pathology. Endocrinology. 2018;159(8):3120-31 DOI: https://doi.org/10.1210/en.2018-00465
Guzik A, Bushnell C. Stroke epidemiology and risk factor management. Cerebrovasc Dis. 2017;23(1):15-39 DOI: https://doi.org/10.1212/CON.0000000000000416
Kuklina EV, Tong X, George MG, Bansil P. Epidemiology and prevention of stroke: a worldwide perspective. Expert Rev Neurother. 2012;12(2):199-208 DOI: https://doi.org/10.1586/ern.11.99
Yi X, Luo H, Zhou J, Yu M, Chen X, Tan L, et al. Prevalence of stroke and stroke related risk factors: a population based cross sectional survey in southwestern China. BMC Neurol. 2020;20(1):1-10 DOI: https://doi.org/10.1186/s12883-019-1592-z
Pan B, Jin X, Jun L, Qiu S, Zheng Q, Pan M. The relationship between smoking and stroke: a meta-analysis. Medicine (Baltimore). 2019;98(12): e14872 DOI: https://doi.org/10.1097/MD.0000000000014872
Shah RS, Cole JW. Smoking and stroke: the more you smoke the more you stroke. Expert Rev Cardiovasc Ther. 2010;8(7):917-32 DOI: https://doi.org/10.1586/erc.10.56
Haley MJ, Lawrence CB. Obesity and stroke: can we translate from rodents to patients? J Cereb Blood Flow Metab. 2016;36(12):2007-21 DOI: https://doi.org/10.1177/0271678X16670411
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Copyright (c) 2020 Nighat Musa, Dr., Asghar Khan, Sher Ayub, Dr.
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