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Stroke patterns in Northeast Malaysia: a hospital-based prospective study
Fauziah Jaya1, M Nyunt Win, Mohd Riduan Abdullah
1Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
Neuroepidemiology
|December 18, 2001
Summary
This study analyzed 158 first-ever stroke cases in Malaysia, finding hypertension common and overall mortality at 37%. The research highlights challenges in stroke presentation and management in Southeast Asia.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Background:
- Stroke is a significant health concern in Southeast Asia.
- Understanding the epidemiology of first-ever stroke is crucial for effective public health strategies.
- Hospital Universiti Sains Malaysia (HUSM) data provides a valuable resource for studying stroke patterns.
Purpose of the Study:
- To prospectively analyze risk factors, presentation, and outcomes of first-ever stroke patients.
- To determine the demographic profile and common comorbidities of stroke patients in Malaysia.
- To highlight challenges in stroke management within the Southeast Asian context.
Main Methods:
- Prospective analysis of all first-ever stroke admissions at HUSM between 1997 and 1998.
- Data collection included patient demographics, risk factors, and clinical outcomes.
- Statistical analysis of 158 stroke cases.
Main Results:
- The majority of patients were Malay (86.1%) with a male predominance.
- Mean age was 59.3 years (SD 12.28).
- Hypertension was highly prevalent (65.2% cerebral infarct, 69.2% intracerebral hemorrhage).
- Overall mortality was 37%, with 34% of deaths occurring within the first month post-stroke.
Conclusions:
- Hypertension is a major risk factor for both ischemic and hemorrhagic stroke in this population.
- High early mortality underscores the need for improved stroke care and prevention strategies.
- This study emphasizes the critical issues in stroke presentation and management in Southeast Asia.