International Journal of Research in Medical Sciences | August 2019 | Vol 7 | Issue 8 Page 3095
International Journal of Research in Medical Sciences
Behera BP et al. Int J Res Med Sci. 2019 Aug;7(8):3095-3102
www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012
Original Research Article
An observational study of clinicoetiological profile of stroke patients in
a new tertiary care hospital in North Odisha, India
Bibhu P. Behera
1
*, D. N. Maharana
2
, Partha S. Mohanty
3
INTRODUCTION
According to the World Health Organization (WHO),
stroke is a clinical syndrome characterized by rapidly
developing clinical symptoms and/or signs of focal, and
at times global (applied to patients in deep coma and
those with subarachnoid hemorrhage), loss of cerebral
function, with symptoms lasting more than 24 hours or
leading to death, with no apparent cause other than that of
vascular origin (Hatano, 1976). Stroke was found to be
the second leading cause of death and was predominant at
age above 60 years, simultaneously the fifth leading
cause of death among age group of 15-59 years old.
1
Stroke is the second leading cause of death worldwide,
causing 6.2 million deaths in 2015.
2
Stroke claims a life every 6 seconds. From 2000-2008,
the overall stroke incidence rates in low to medium
1
Department of Internal Medicine, Saheed Laxman Naik Medical College and Hospital, Koraput, Odisha, India
2
Department of Internal Medicine, S. C. B. Medical College and Hospital, Cuttack, Odisha, India
3
Department of Internal Medicine, Pandit Raghunath Murmu Medical College and Hospital, Rangamatia, Baripada,
Mayurbhanj, Odisha, India
Received: 08 June 2019
Revised: 13 June 2019
Accepted: 06 July 2019
*Correspondence:
Dr. Bibhu P. Behera,
E-mail: drbibhu1111@yahoo.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: Stroke is one of the leading causes of morbidity and mortality in India. The objective was to study the
clinical profile, risk factors, neurological characters, pattern of brain stroke, areas of brain affected as per CT scan
findings in patients with stroke.
Methods: This observational study was carried out from June 2018 to Jan 2019 of all new patients admitted with
stroke in Pandit Raghunath Murmu Medical College and Hospital, Baripada, Mayurbhanj, Odisha, India.
Results: The incidence of stroke is maximum in 46-60 years of age group. The average age+SD was 59.3+13.5 in our
study. 274 (46.52%) patients had ischemic stroke and 315 (53.48%) patients had hemorrhagic stroke. The male to
female ratio was 1.46:1. Anterior circulation (86.42%) was the most common territory involved in the brain. The most
common risk factor was hypertension with 77.76% followed by dyslipidemia (53.99%). The most common clinical
presentation was hemiplegia (85.23%).
Conclusions: The incidence of stroke is maximum in 46-60 years of age group. The average age+SD was 59.3+13.5
in our study. 274 (46.52%) patients had ischemic stroke and 315 (53.48%) patients had hemorrhagic stroke. The male
to female ratio was 1.46:1. Anterior circulation (86.42%) was the most common territory involved in the brain. The
most common risk factor was hypertension with 77.76% followed by dyslipidemia (53.99%). The most common
clinical presentation was hemiplegia (85.23%).
Keywords: Cerebrovascular stroke, Diabetes, Hemorrhagic stroke, Hypertension, Ischemic stroke, Risk factors
DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20193401