Risk factors and outcome of stroke in young in a tertiary care hospital
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20151585Keywords:
Stroke in young, Risk factors, Outcome, Modified Rankin scale, DisabilityAbstract
Background: Stroke is one of the important causes of morbidity, mortality, and disability worldwide. This disease/ disability happening in the younger age group add to the social burden. Young stroke can have devastating consequences with respect to quality of life, the ability to work, plan or shoulder the responsibility of a family, and participate in social life. Although the number of young stroke is lesser than stroke among the elderly, the total number of years that young stroke patients live with the consequences of stroke exceeds that of older stroke survivors due to far longer survival. The issue of stroke in young in India has long been of interest to neurologists in the country. This study was done to know the factors leading to stroke in young and outcome of these cases in a tertiary care hospital.
Methods:A hospital based, cross sectional study consisting of all stroke cases admitted in SDM College of Medical Sciences and Hospital, Dharwad, Karnataka for a period of one year.
Results: Out of 236 stroke cases, 52 (22%) were <45 years of age. 80.8% of them were in the age group of 30-45 years. Overweight and obesity (63.4%) was the most common risk factor followed by Hypertension (50%) and cigarette& tobacco use (40.3%). Patients with family history of stroke had higher chances of having stroke at younger age (13.5%) compared to older age group (p value=0.0299). Mortality rate was found to be 11.5%.
Conclusions:There was predominance of traditional risk factors in young strokes. This highlights the needs for aggressive management of these risk factors.
Metrics
References
Khadilkar SV. Neurology: The Scenario in India. JAPI. 2012;60:42-4.
Wasay M, Khatri IA, Kaul S. Stroke in South Asian countries. Nat Rev Neurol. 2014;10:135-43.
Griffiths D, Sturm J. Epidemiology and Etiology of Young Stroke. Stroke Research and Treatment. 2011;2011:209370.
Tripathi M, Vibha D. Stroke in Young in India, Stroke Research and Treatment. 2011;2011:368629.
Hassan KM, Verma A, Praksh S, Chandran V, Kumar S, Banerji A. Prevalence and association of lifestyle factors with extracranial carotid atherosclerosis in non-cardioembolic anterior circulation strokes in adult males less than 50 years: One year cross-sectional study. Ann Indian AcadNeurol. 2013;16:516-20.
Dash D, Bhashin A, Pandit AK, Tripathi M, Bhatia R, Prasad K, et al. Risk Factors and Etiologies of Ischemic Strokes in Young Patients: A Tertiary Hospital Study in North India. Journal of Stroke. 2014;16(3):173-7.
Bonita R, Beaglehole R. Modification of Rankin Scale: Recovery of motor function after stroke. Stroke. 1988;19(12):1497-500.
Kapoor D, Dhiman A, Sharma R, Sundar S. Clinical profile, risk factors and aetiology of young stroke: a tertiary care hospital based study from the Sub-Himalayan region in North India. Int J Res Med Sci. 2014;2:1355-9.
Nagaraja D, Gururaj G, Girish N, Panda S, Roy AK, Sarma GR, et al. Feasibility study of stroke surveillance: Data from Bangalore, India. Indian J Med Res. 2009;130:396-403.
Dalal PM, Nagaraja D, Narayan S. Stroke Surveillance India, 1996.
Abraham J, Rao PS, Inbaraj SG, Shetty G, Jose CJ. An epidemiological study of hemiplegia due to stroke in South India. Stroke. 1970;1:477-81.
Harsha Kumar HN, Kalra B, Goyal N. A study on stroke and its outcome in young adults (15-45 Years) from coastal South India. Indian J Community Med. 2011;36:62-5
Ali S, Y Khan RS, Hassan M. Frequency of Risk Factors in Patients with Acute Stroke at Tertiary Care Hospital Bahawalpur. Ann Pak Inst Med Sci. 2013;9(1):8-11
Subha PP, Pillai Geethakumari SM, Athira M, Nujum ZT. Pattern and risk factors of stroke in the young among stroke patients admitted in medical college hospital, Thiruvananthapuram. Ann Indian Acad Neurol. 2015;18:20-3.
Baidya O, Tiwari S, Usman K. Acute ischemic stroke in young adults-a hospital based study in North India. International Journal of Biomedical Research. 2015;6(2).
Dash D, Bhashin A, Pandit A, Tripathi M, Bhatia R, Prasad K, et al. Risk Factors and Etiologies of Ischemic Strokes in Young Patients: A Tertiary Hospital Study in North India. J Stroke. 2014;16(3):173.
Nedeltchev K, der Maur TA, Georgiadis D, Arnold M, Caso V, Mattle HP, et al. Ischaemic stroke in young adults: predictors of outcome and recurrence. Journal of Neurology, Neurosurgery, and Psychiatry. 2005;76(2):191-5.