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A study on stroke victims in Rajiv Gandhi Government General Hospital, Chennai

Dipti Baskar, S Revathy

    The Journal of the Association of Physicians of India
    |April 30, 2014
    PubMed

    Insights

    This study analyzed stroke cases in Chennai, finding personal habits in males and chronic illnesses in females strongly associated with stroke occurrence. A holistic approach is crucial for prevention and management.

    Area of Science:

    • Neurology
    • Public Health
    • Epidemiology

    Background:

    • Stroke is a major cause of disability and economic loss, with Indian studies indicating a prevalence of 471.58 per 100,000 population.
    • Understanding the clinical profile and contributing factors to stroke is essential for effective prevention and management strategies.

    Purpose of the Study:

    • To analyze the clinical profile of acute stroke patients.
    • To identify key factors contributing to stroke occurrence in both males and females.

    Main Methods:

    • A descriptive, retrospective cross-sectional study was conducted on 150 acute stroke patients admitted to I.I.M., RGGGH, Chennai.
    • Data was collected over a 3-month period in 2011, examining patient demographics, clinical presentation, and risk factors.

    Main Results:

    • The study included 58% males and 42% females, with young stroke patients comprising 18.4% of males and 22.2% of females.
    • Ischemic stroke (infarct) was prevalent (76%), followed by intracerebral hemorrhage (ICH) (18%). Only 33.3% of patients arrived at the hospital within 6 hours.
    • Key risk factors identified included Type A personality (70.7%), tobacco abuse (60.7%), alcohol abuse (44.7%), systemic hypertension (60.7%), and diabetes mellitus (33.3%).

    Conclusions:

    • A significant proportion of cerebrovascular accidents (CVAs) were observed in young females.
    • Personal habits in males and chronic comorbid illnesses in females showed a strong association with stroke.
    • A comprehensive approach involving public awareness, behavioral modification, and management of chronic illnesses is recommended.
    Abstract

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