1. HAEMORRHAGIC STROKE: RISK FACTORS, PATTERN AND OUTCOME IN NORTH EASTERN UTTAR PRADESH.
- Author
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Khan, Azhar Ali, Verma, Anand Mohan, Chahar, Ajeet Singh, Chauhan, Nitu, Saini, Virendra Singh, Agrawal, Rahul, and Garima
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DISEASE risk factors , *INTRACEREBRAL hematoma , *LOGISTIC regression analysis , *ISCHEMIC stroke , *AGE groups , *BRAIN anatomy - Abstract
The cerebrovascular accidents (CVA) leads to rapid loss of brain function due to disturbance in blood supply of the brain. This can be due to blockage in central arteries (ischemia) or haemorrhage. As a result, the affected area of the brain stops functioning leading to hemiparesis or weakness of other body part. Stroke is the third most common cause of death in developed countries. Ischemic stroke accounts for 80-85% and the other haemorrhagic stroke accounts for 15-20% of total stroke patients. The haemorrhagic stroke is more fatal than the ischemic stroke. AIMS and Objectives: 1. To identify the pattern of haemorrhagic stroke 2. To study various factors of intracranial haemorrhage 3. To study the common sites of haemorrhagic stroke 4. To study the outcome of haemorrhagic stroke Settings and Design: 100 consecutive patients with CT proven non traumatic intracranial haemorrhage admitted from September 2016 to August2017 in BRD Medical College were included for the study. Materials and Methods: This study was cross sectional observational study. In the study detailed clinical examination, ICH score and site and size of hematoma was noted in each case on a preformed proforma. Where ever possible the DATA was analysed for statistically significance by calculating the probability by using the % difference between the DATA and standard errors. Multi variate analysis using logistic regression was applied for analysing DATA. Results: On applying multivariate analysis using logistic regression analysis for mortality we found GCS 3 and 4 (p<0.01, OR 0.03, 95% Cl 0.01-0.08) and hematoma volume > 30 cm³ (p=0.01, OR 4.34, 95% Cl 1.27-14.8) as significant predictors of mortality in ICH patients, which was comparable to previous studies. In contrary to previous studies, we did not found Intraventricular extension (p=0.14, OR 4.04, 95% Cl 0.63-25.9) as a significant factor for acute mortality. Conclusions: The following conclusions were drawn from the study:- 1. Haemorrhagic stroke incidence was slightly more in males than females (male/female= 6/5) 2. Maximum incidence of stroke was in age group 61 to 70 years. 3. Among modifiable risk factors, history of hypertension was commonest risk factor. 4. Ganglio-Capsular was the commonest site for haemorrhage. 5. Low GCS (p=<0.001) and Hematoma volume > 30 cc (p=0.01) were significant predictors of mortality. 6. Presence of Intraventricular extension was not a significant predictor for mortality, rather Morbidity was more in those cases (p=0.02). 7. Mortality was more when bleed was in the base of brain structures 8. With the increase of ICH score (>3), the mortality rate increases. [ABSTRACT FROM AUTHOR]
- Published
- 2022