FREQUENCY OF KNOWN RISK FACTORS FOR STROKE IN POOR PATIENTS OF A TEACHING HOSPITAL IN DISTRICT SWAT.
DOI:
https://doi.org/10.52206/jsmc.2012.2.1.87-Abstract
Objective: To study the frequency of known risk factors for stroke in poor patients of Swat district.
Design: prospective, descriptive hospital based study.
Setting: Saidu teaching Hospital Saidu Sharif district Swat.
Subjects and Methods: All poor patients admitted to the general medical ward of Saidu teaching Hospital
during June 2005 to May 2007 were included in the study.
Type of stroke was identified by C.T.scan. Risk factors for stroke and other relevant information was
recorded on properly designed proforma. The data was analyzed on SPSS
Results: Data of 134 patients, 75 male and 59 females was collected. 92 patients (70%) had cerebral
infarction, 30 patients (23%) had cerebral haemorrhage. 12 patients had normal C.T scan (non enhanced).
Most patients had more than one risk factor. Hypertension was present in 61%, smoking 50%, sedentary
habits 38%, diabetes 33%, dyslipidemia 32 %, coronary artery disease 22 %, obesity 11%, alcoholism 2%
and carotid artery stenosis 5%. In hospital mortality was 20%. Eighty eight percent of patients were
dependent at the time of discharge for their daily activities.
Conclusion: Hypertension, smoking and diabetes are major risk factors for the development of stroke in
general poor population. All aims of primary and secondary prevention should address these major risk
factors. Most of the patients become dependent and it is very important to develop stroke units,
physiotherapy programs and rehabilitation centers to reduce morbidity due to stroke in a poor community.
Key Worlds: Stroke, Risk factors,Swat District.
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