Volume : 09, Issue : 03, March – 2021
23.FACTORS INFLUENCING SEVERITY IN ACUTE ISCHEMIC STROKES
Wajih Ansari, Tahira Shaheen, Zahida Nasreen
Abstract :
Introduction: Acute ischemic stroke is one of the major causes of disability and death worldwide. Effective prevention remains the best approach for reducing the burden of stroke. Objectives: The aim of this work was to study the prevalence of stroke risk factors and the possible relation between such risk factors and the disease severity. Material and methods: This cross-sectional study was conducted in Civil hospital Karachi during June 2019 to March 2020. The data was collected from 150 patients of stroke. All subjects were subjected to history taking, clinical, laboratory, and radiological evaluation. Stroke severity and disability were evaluated by National Institute of Health Stroke Scale (NIHSS) and the modified Rankin Scale (mRS) respectively. Results: Hypertension was detected in 104 patients (62.3%), dyslipidemia was detected in 46 patients (58.1%). Diabetes mellitus was detected in 58 patients (34.7%) with high prevalence of cardio-embolic risk factor, 36 patients (21.6%) had rheumatic heart, and 44 patients (26.3%) had atrial fibrillation. Disease severity score was significantly higher in patients with age > 45 years old (P < 0.001), hypertension (P < 0.001), cardio-embolic risk factor (P = 0.044), and carotid stenosis ≥ 50% (P = 0.017). Conclusions: It is concluded that the most common risk factor for stroke was hypertension followed by dyslipidemia and then smoking with higher incidence of rheumatic heart diseases due to lowered living conditions. Age, hypertension, cardio-embolic risk factors, and carotid stenosis ≥ 50% have negative impact on stroke severity and disability.
Cite This Article:
Please cite this article in press Wajih Ansari et al., Factors Influencing Severity In Acute Ischemic Strokes., Indo Am. J. P. Sci, 2021; 08(03).
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