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TITLE:

A STUDY ON THE AUDIT OF THE PATIENTS OF STROKE PRESENTING AT MAYO HOSPITAL LAHORE

AUTHORS:

Dr Kanza Ikhlaq, Dr. Tehreem Nasur Ullah, Dr Muhammad Jalal.

ABSTRACT:

Objective: The aim of this research work is to find out the presentation mode, reasons behind complications and consequence in patients suffering from stroke. Methodology: This research work carried out retroactively on fifty identified patients of stroke in the Mayo Hospital, Lahore. This study was completed in a duration of one year from January 2018 to December 2018. We collected all the data from the attendants of the patients who got admission in the ICU to get treatment for stroke. We summarized the presentation mode, reasons behind this complication as hemorrhage of cerebral, myocardial infarction & sub-arachnoid hemorrhage with the utilization of the CT scan (Computed Tomography Scan) & consequence of the patients suffering from stroke. SPSS V.10.1 was in use for the statistical analysis of the collected information. Results: Total fifty patients in which thirty males and twenty females were under study in this research work. The mean age of the patients at the time of presentation was 59.50 years. The very frequent complain was unilateral weakness present in 32.0% (n: 16) patients, 50.0% (n: 25) patients stated the consciousness loss whereas high fever with nausea was present in 16.0% (n: 8) patients. The most common risk factor was hypertension present in 56.0% (n: 28) patients while 36.0% (n: 18) patients were addict of cigarette smoking and suffering from diabetes mellitus. Hemorrhage of cerebral was present in 36.0% (n: 18) patients while ischemia was accountable for 62.0% (n: 31) cases. Sub-arachnoid hemorrhage was present in only 2.0% (n: 1) patient. Thirty-six percent (n: 18) patients got discharge from the hospital alive whereas remaining 46.0% (n: 23) patients met their deaths because of severe complications. Conclusion: This research work displayed that ischemia was dominant reason of stroke in the patients of this study. Most of the patients were in their old age, available with hypertension and tobacco smokers. We found the high rate of morbidity as well as mortality in the patients who reached our institute after long time of the stroke. Further research works are the requirement for the prevention, in time identification & proper administration of the factors of risks to decrease the occurrence of the disease and its disastrous outcome. KEY WORDS: Hypertension, Mortality, Morbidity, Occurrence, Administration, ICU, Complications, Tobacco.

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