Publication:
Alteration of Thyroid Hormone among Patients with Ischemic Stroke visiting a Tertiary Care Hospital: A Descriptive Cross-sectional Study

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorBashyal, Saroja
dc.contributor.authorGorkhaly, Manen Prasad
dc.contributor.authorDevkota, Rameshwor
dc.contributor.authorDevkota, Ramila
dc.contributor.authorRegmi, Pradeep Raj
dc.contributor.authorAmatya, Isha
dc.date.accessioned2026-02-20T06:34:27Z
dc.date.available2026-02-20T06:34:27Z
dc.date.issued2021
dc.descriptionSaroja Bashyal Department of Internal Medicine, Rapti Provincial Hospital, Dang, Nepal https://orcid.org/0000-0002-8561-5412 Manen Prasad Gorkhaly Department of Internal Medicine, Bir Hospital, National Academy of Medical Sciences, Kathmandu, Nepal Rameshwor Devkota Deparment of Radiology, Rapti Provincial Hospital, Dang, Nepal https://orcid.org/0000-0002-8561-5412 Ramila Devkota Deparment of Radiology, Bir Hospital, National academy of Medical Sciences, Kathamndu, Nepal Pradeep Raj Regmi Deparment of Radiology, Hospital for Advanced Medicine and Surgery, Dhumbarahi, Kathmandu, Nepal https://orcid.org/0000-0001-9571-9736 Isha Amatya Department of Community Medicine, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal https://orcid.org/0000-0001-6778-8275
dc.description.abstractAbstract: Introduction: Stroke is broadly classified as cerebral infarction, intracerebral hemorrhage and subarachnoid hemorrhage. Neuroendocrine profile is altered in acute ischemic stroke and there is a link between hypothyroidism and atherosclerosis which in turn may lead to stroke. The objective of this study was to find out the prevalence of alteration of thyroid hormones in patients with ischemic stroke in a tertiary care center. Methods: This descriptive cross-sectional study was conducted from June to December 2019 in a tertiary care center. Ethical approval was taken from Institutional review board of National Academy of Medical Sciences (reference number: IM 175). Patients with a diagnosis of stroke, without evidence of cardioembolic source, history of liver disease, renal failure and thyroid disease and who do not use thyroidal supplementation within 180 days prior the event were included. Convenience sampling was done. Data was entered in Microsoft Excel and analyzed using Statistical Package for the Social Sciences version 22. Point estimate at 90% Confidence Interval was calculated along with frequency and percentage for binary data. Results: The prevalence of altered thyroid levels among 73 patients was 13 (17.8%) (90% Confidence Interval= 10.44-25.16). Among them 11 (15.1%) were hypothyroid and 2 (2.7%) were hyperthyroid. Among severity of hypothyroid cases, subclinical hypothyroidism grade IA was seen in 51 (70%), subclinical hypothyroidism grade IB was seen in 22 (30%), Conclusions: The prevalence of altered thyroid levels among patients undergoing ischemic stroke was similar to the findings of other international studies.
dc.identifierhttps://doi.org/10.31729/jnma.6501
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4828
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjecthyperthyroidism
dc.subjecthypothyroidism
dc.subjectischemic stroke
dc.titleAlteration of Thyroid Hormone among Patients with Ischemic Stroke visiting a Tertiary Care Hospital: A Descriptive Cross-sectional Study
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage782
oaire.citation.startPage779
relation.isJournalIssueOfPublication63b8b137-dbcc-4628-92ef-09baf080325d
relation.isJournalIssueOfPublication.latestForDiscovery63b8b137-dbcc-4628-92ef-09baf080325d
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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