Academic Overview of the Medical College Hospital.

Title : A Study on Clinical Profile of Stroke Patients in a Tertiary Care Hospital

Published by -Jalalabad Medical Journal PDF Page : 40-46

Stroke is a devastating and disabling cerebrovascular disease with a significant amount of residual deficit, leading to economic loss. Stroke is the third leading cause of death in Bangladesh. The World Health Organization ranks Bangladesh’s mortality rate due to stroke as number 84 in the world. The objective of the study was to determine the clinical presentation, risk factors, and patterns of strokes and areas of the brain affected as per CT scan findings in patients with stroke. The cross sectional study was conducted by scrutinizing the records of the patients admitted to the department of Medicine at Jalalabad Ragib-Rabeya Medical College Hospital (JRRMCH), Sylhet, from January 2018 to December 2019. A total of fourteen hundred twenty cases were recorded, of which 59% were male and 41% were female, and the male to female ratio was 1.4:1. The majority of patients (27.5%) are between the ages of 51 and 60. Maximum patients came from rural areas (71.3%) and regarding patients’ occupation, the maximum male patients were farmers (29.9%) and the maximum female patients were housewives (49.6%). The most common type of stroke was ischaemic (82.7%). The most common clinical presentation was hemiparesis 756 (53.2%) and the most common risk factor was hypertension (62.3%), followed by diabetes mellitus (55.2%), smoking (41.9%), dyslipidaemia (38.9%) and a past history of stroke (11.9%). Regarding topographic distribution, the most common site of infarction was the parietal lobe (24.9%) and the most common site of haemorrhage was the brain stem (17.6%). The cerebrovascular stroke cases had a male predominance, with hypertension being the most common risk factor, and the most common type of stroke was ischaemic.

Keywords: Stroke, Ischaemic, Haemorrhagic, Hypertension.