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Cross Sectional Study on Clinical Profile and Risk Factors among Ischemic and Hemorrhagic Stroke
M A Hoque1, M M Emran, M A Hanif
1Dr Md Aynul Hoque, Junior Consultant (Neurology), Pabna Medical College, Pabna, Bangladesh;
Insights
Stroke is a leading cause of disability globally. This study identified hypertension, smoking, and dyslipidemia as key preventable risk factors for both ischemic and hemorrhagic stroke in Bangladesh.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Background:
- Stroke is a primary cause of long-term disability worldwide.
- Effective stroke prevention strategies are crucial for public health.
- Identifying and managing modifiable risk factors is key to reducing stroke incidence.
Purpose of the Study:
- To investigate the prevalence of stroke and its associated risk factors.
- To compare risk factor profiles between ischemic and hemorrhagic stroke patients.
- To inform stroke prevention initiatives in the study population.
Main Methods:
- A cross-sectional observational study was conducted from September 2014 to February 2017.
- Seventy-eight stroke patients confirmed by neuroimaging (CT/MRI) were included.
- Data on demographics, lifestyle, and medical history were collected and analyzed.
Main Results:
- Hypertension was the most prevalent risk factor, followed by smoking, dyslipidemia, diabetes mellitus, and ischemic heart disease.
- Ischemic stroke patients (60) were more common than hemorrhagic stroke patients (18).
- Male predominance was observed in both stroke types; previous vascular events, family history, and alcohol consumption were higher in ischemic stroke.
Conclusions:
- Hypertension, smoking, and dyslipidemia are significant modifiable risk factors for stroke.
- Understanding these risk factors is essential for developing targeted prevention programs.
- Public health interventions should focus on managing these risk factors to reduce the burden of stroke.
Abstract:
The most common cause of disability disorder is stroke worldwide. Prevention is the main focus for stroke. By addressing the risk factors, stroke could be prevented. This cross-sectional observational study was conducted from September 2014 to February 2017 in the department of Neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh. All the patients of ischemic and hemorrhagic stroke were confirmed by neuroimaging (CT scan of brain/ MRI of brain). And screening of inclusion and exclusion criteria, seventy-eight stroke patients were included in the study. Among them 60(76.0%) were ischemic (Group A) and 18(23.0%) were hemorrhagic (Group B) stroke patients. Mean age of the study population was 60.83±13.36 years and 58.58±14.77 years in Group A and Group B respectively. In both groups male was predominant. Mostly females were housewife (33.0%) and higher percentage of males was businessman (30.0%). Most of the study populations were literate in Group A but maximum of Group B were illiterate. Hypertension is the most common risk factor, then smoking, dyslipidemia, diabetes mellitus and ischemic heart disease respectively for both groups of ischemic and hemorrhagic stroke patients. Previous vascular events, family history and alcohol consumption were higher in Group A than Group B.
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