Study of the profile of stroke in a tertiary-care hospital in the sub-Himalayan region in north India

Background: Rapid urbanization of rural areas is predicted to increase the incidence of risk factors for vascular events such as stroke among the ruralites. A different culture, beliefs, terrain, and climatic conditions of Himachal Pradesh may have an impact on the profile of stroke. Objectives:...

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Main Authors:	Dhiraj Kapoor, Pankaj Gupta, Shyam Sundar, Rupinder Sharma, Ashish Dhiman, Vishnu Agarwal
Format:	Article
Language:	English
Published:	Universiti Kebangsaan Malaysia 2015
Online Access:	http://journalarticle.ukm.my/8753/ http://journalarticle.ukm.my/8753/ http://journalarticle.ukm.my/8753/1/P.124-128.pdf

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spelling	ukm-87532016-12-14T06:48:04Z http://journalarticle.ukm.my/8753/ Study of the profile of stroke in a tertiary-care hospital in the sub-Himalayan region in north India Dhiraj Kapoor, Pankaj Gupta, Shyam Sundar, Rupinder Sharma, Ashish Dhiman, Vishnu Agarwal, Background: Rapid urbanization of rural areas is predicted to increase the incidence of risk factors for vascular events such as stroke among the ruralites. A different culture, beliefs, terrain, and climatic conditions of Himachal Pradesh may have an impact on the profile of stroke. Objectives: To study the profile and the various risk factors of stroke in the sub-Himalayan region of north India. Material and Methods: It was an observational cross-sectional study conducted at the Department of Medicine, R.P. Government Medical College, Kangra, Himachal Pradesh, for a duration of 12 months, from June 2012 to May 2013. Consecutive patients presenting to the hospital with signs and symptoms of stroke were included in the study. Detailed history and clinical examination was carried out in all patients. CT scan, routine blood examination, and lipid profile were evaluated in all patients. Results: Total number of patients who presented with stroke in a year was 374. It formed 4.0% of the total hospital admissions in medical wards. The mean age of stroke patients was 66.17±12.9 years. Of the total patients, 254 (67.9%) were males and 120 (32%) were females; 127 patients (33.9%) presented between 6 am and 12 pm. The majority of patients presented in winter months, from November to January. Average delay in the presentation to hospital was 29 h. Only 79 (21.1%) patients presented within 3 h. Among the patients, 342 (91.4%) belonged to rural area, 61.4% had an infarct, and 38.6% had intracerebral bleed. The most common symptoms reported were weakness in 276 (73%) followed by speech abnormality in 53%. Hypertension as a risk factor was found in 174 (46.5%); 155 patients (41.4%) were smokers; and diabetes was present in 61 patients (16.4%). Average cholesterol level was 176±54.99 mg/dl, and average triglyceride level was 339 mg/dl. Conclusions: The major strength in our study was the predominance of rural population. The state has witnessed an increase in the incidence of stroke. Elderly population is predominantly affected. Average delay in presentation was 29 h, which is substantially high. Majority of the events occurred in winter months. Universiti Kebangsaan Malaysia 2015-06-17 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/8753/1/P.124-128.pdf Dhiraj Kapoor, and Pankaj Gupta, and Shyam Sundar, and Rupinder Sharma, and Ashish Dhiman, and Vishnu Agarwal, (2015) Study of the profile of stroke in a tertiary-care hospital in the sub-Himalayan region in north India. International Journal of Public Health Research, 4 (1). pp. 124-128. ISSN 2232-0245 www.ijphr.ukm.my
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Background: Rapid urbanization of rural areas is predicted to increase the incidence of risk factors for vascular events such as stroke among the ruralites. A different culture, beliefs, terrain, and climatic conditions of Himachal Pradesh may have an impact on the profile of stroke. Objectives: To study the profile and the various risk factors of stroke in the sub-Himalayan region of north India. Material and Methods: It was an observational cross-sectional study conducted at the Department of Medicine, R.P. Government Medical College, Kangra, Himachal Pradesh, for a duration of 12 months, from June 2012 to May 2013. Consecutive patients presenting to the hospital with signs and symptoms of stroke were included in the study. Detailed history and clinical examination was carried out in all patients. CT scan, routine blood examination, and lipid profile were evaluated in all patients. Results: Total number of patients who presented with stroke in a year was 374. It formed 4.0% of the total hospital admissions in medical wards. The mean age of stroke patients was 66.17±12.9 years. Of the total patients, 254 (67.9%) were males and 120 (32%) were females; 127 patients (33.9%) presented between 6 am and 12 pm. The majority of patients presented in winter months, from November to January. Average delay in the presentation to hospital was 29 h. Only 79 (21.1%) patients presented within 3 h. Among the patients, 342 (91.4%) belonged to rural area, 61.4% had an infarct, and 38.6% had intracerebral bleed. The most common symptoms reported were weakness in 276 (73%) followed by speech abnormality in 53%. Hypertension as a risk factor was found in 174 (46.5%); 155 patients (41.4%) were smokers; and diabetes was present in 61 patients (16.4%). Average cholesterol level was 176±54.99 mg/dl, and average triglyceride level was 339 mg/dl. Conclusions: The major strength in our study was the predominance of rural population. The state has witnessed an increase in the incidence of stroke. Elderly population is predominantly affected. Average delay in presentation was 29 h, which is substantially high. Majority of the events occurred in winter months.
format	Article
author	Dhiraj Kapoor, Pankaj Gupta, Shyam Sundar, Rupinder Sharma, Ashish Dhiman, Vishnu Agarwal,
spellingShingle	Dhiraj Kapoor, Pankaj Gupta, Shyam Sundar, Rupinder Sharma, Ashish Dhiman, Vishnu Agarwal, Study of the profile of stroke in a tertiary-care hospital in the sub-Himalayan region in north India
author_facet	Dhiraj Kapoor, Pankaj Gupta, Shyam Sundar, Rupinder Sharma, Ashish Dhiman, Vishnu Agarwal,
author_sort	Dhiraj Kapoor,
title	Study of the profile of stroke in a tertiary-care hospital in the sub-Himalayan region in north India
title_short	Study of the profile of stroke in a tertiary-care hospital in the sub-Himalayan region in north India
title_full	Study of the profile of stroke in a tertiary-care hospital in the sub-Himalayan region in north India
title_fullStr	Study of the profile of stroke in a tertiary-care hospital in the sub-Himalayan region in north India
title_full_unstemmed	Study of the profile of stroke in a tertiary-care hospital in the sub-Himalayan region in north India
title_sort	study of the profile of stroke in a tertiary-care hospital in the sub-himalayan region in north india
publisher	Universiti Kebangsaan Malaysia
publishDate	2015
url	http://journalarticle.ukm.my/8753/ http://journalarticle.ukm.my/8753/ http://journalarticle.ukm.my/8753/1/P.124-128.pdf
first_indexed	2023-09-18T19:53:08Z
last_indexed	2023-09-18T19:53:08Z
_version_	1777406352680812544

Study of the profile of stroke in a tertiary-care hospital in the sub-Himalayan region in north India

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