ACUTE POST COMPLICATIONS IN STROKE PATIENTS VISITING A TERTIARY TEACHING HOSPITAL
Objective: The study was focused on assessing the incidence of stroke and their association with types of the risk factor, with an emphasis on acute post complications and their symptomatic management for early detection.
Methods: A prospective observational study was carried out on stroke patients visiting a medicine department of a tertiary hospital, Andhra Pradesh, India from August 2017 to November 2017. Patient's demographics and lab data was collected for analysis.
Results: A total of 110 patients participated in the study. Among them high incidence is males (69%), 61-80yrs (48%), with 2 risk factors (35%) among which age (67%) and hypertension (66%) were related to the high degree of prevalence. 47% of the study population were identified with one complication, among which seizures account for 38% of patients. All the complications associated with the condition were treated with drug classes, in which anti-epileptic drugs (AEDs) were the mainstay in the management of epilepsy.
Conclusion: Brain edema and seizure attack were the most accountable complications identified in the study population. The early detection of these problems can improve the stroke outcomes and can reduce the mortality or disability rate.
2. WHO. 2017. Available from: http://www.who.int/ mediacentre/factsheets/fs310/en/:Top 10 causes of death worldwide. [Last accessed 21 Nov 2017]
3. Jeyaraj DP, Paulin S. Stroke epidemiology and stroke care services in India. J Stroke 2013;15:128-34.
4. Jose CN, Ester B, Nijasri S, Hui MC, Shan JR, Yi NH, et al. Complication of acute stroke: a study in ten Asian countries. Neurol Asia 2008;13:33â€“9.
5. Chirayu VV, Drusty KM. A retrospective study of clinical profile of stroke patients from GMERS Medical College and Hospital, Gandhinagar, Gujarat. Int J Clin Trials 2014;1:62-6.
6. Vinay Kumari, Meena Aggarwal, Achal Srivastava. A retrospective study to identify triggers or precipitators related to the onset of stroke. Nursing Midwifery Res J 2012;8:141-8.
7. Shrestha A, Shah DB, Koirala SR, Adhikari KR, Sapkota S, Regmi PR. Retrospective analysis of stroke and its risk factors at bir hospital. PMJN 2011;11:28-30.
8. Mohan DK, Nikhitha M, Dhananjaya M. A retrospective study of stroke in young adults from tertiary care hospital. Sch J App Med Sci 2013;1:506-10.
9. Indira Kumari N, Veera Raghavulu B. Risk factor assessment of stroke and its awareness among stroke survivors: a retrospective study. Int J Res Health Sci 2015;3:140-5.
10. Karen CJ, Jiang YL, Patrick DL, Sandra KH, Thomas EF, Robert JA, et al. Medical and neurological complications of ischemic stroke experience from the RANTTAS trial. Stroke 1998;29:447-53.
11. Benny SK, Cathy Sila. Seizures in ischemic stroke. In: Mohamad Koubeissi, Amer Alshekhlee, Prachi Mehndiratta. editors. Seizures in Cerebrovascular Disorders-A clinical guide. New York: Springers; 2015. p. 17-30.