Publication: Stroke among Patients Admitted to a Tertiary Care Centre: A Descriptive Cross-sectional Study
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: Stroke is the second most common cause of mortality after ischemic heart disease and the leading cause of morbidity around the world. This study aimed to find out the stroke among patients admitted to a tertiary care centre.
Methods: A descriptive cross-sectional study was conducted in the Department of Internal Medicine and Neurosurgery from 15 July 2021 to 15 June 2022 after taking ethical approval from Institutional Review Committee (Reference number: 78/79-083). Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.
Results: Among 5034 patients, 149 (2.95%) (2.48-3.41, 95% Confidence Interval) patients had stroke. Out of 149 cases, male to female ratio was 1.06 with a mean age of 65.05±14.06 years. The most common presentation was hemiparesis 128 (85.90%). Hypertension 106 (71.14%) was the most common underlying condition. The frontal area 17 (32.02%) was the most common site of ischemic stroke. Putamen (55.26%) was most common site in hemorrhagic stroke. The mean hospital stays was 6.3±5.18 days. There were 5 (3.40%) cases of in-hospital mortality.
Conclusions: The prevalence of stroke was similar to other studies done in similar settings.
Description
Ram Narayan Kurmi
Maharajgunj Primary Health Centre, Maharajgunj, Kapilvastu, Nepal
Laxman Mandal
Department of Internal Medicine, Chitwan Medical College, Bharatpur, Chitwan, Nepal
Raj Singh
Kathmandu Model Hospital, Pradarsani Marg, Kathmandu, Nepal
Prateek Kumar Chaudhary
Gaushala Primary Health Centre, Gaushala, Mahottari, Nepal
Tirth Dhungana
Department of Internal Medicine, Chitwan Medical College, Bharatpur, Chitwan, Nepal
Sandesh Lamichanne
Department of Internal Medicine, Chitwan Medical College, Bharatpur, Chitwan, Nepal
Nimish Raj Bastola
Department of Internal Medicine, Chitwan Medical College, Bharatpur, Chitwan, Nepal
Prajjwal Pokharel
Department of Internal Medicine, Chitwan Medical College, Bharatpur, Chitwan, Nepal
Keywords
Hemorrhagic Stroke, Ischemic stroke, Prevalence