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A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
06:01

A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia

Published on: August 18, 2015

Risk factors for stroke and predictors of one-month mortality

T Z Ong1, A A Raymond

  • 1Department of Medicine, Penang General Hospital. OngTZ@nuh.com.sg

Singapore Medical Journal
|February 18, 2003
PubMed

Insights

Stroke risk factors like hypertension and diabetes are common in Malaysia. Poor Glasgow Coma Score (GCS) and hemorrhagic stroke predict higher mortality within one month.

Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Stroke is a leading cause of death in Malaysia.
  • Understanding stroke risk factors and mortality predictors is crucial.

Purpose of the Study:

  • Identify prevalent stroke risk factors in Malaysia.
  • Determine predictors of one-month stroke mortality.

Main Methods:

  • Prospective study of 246 stroke patients at Penang Hospital (Dec 1998-Nov 1999).
  • Assessed risk factors including hypertension, diabetes, and hyperlipidemia.
  • Analyzed predictors of one-month mortality: GCS, hypertension, stroke type, and age.

Main Results:

  • Hypertension (71.5%), diabetes mellitus (40.2%), and hyperlipidemia (37%) were common risk factors.
  • Ischemic strokes accounted for 74.8% of cases.
  • One-month mortality was 20.3%, with poor admission GCS, GCS deterioration, and hemorrhagic stroke as independent predictors.

Conclusions:

  • Hypertension and diabetes are primary stroke risk factors in Malaysian tertiary hospital patients.
  • Admission GCS, GCS deterioration, and hemorrhagic stroke significantly predict one-month mortality.
Abstract

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