Research Article
Prevalence of Stroke Risk Factors and Their
Distribution Based on Stroke Subtypes in Gorgan:
A Retrospective Hospital-Based Study—2015-2016
Mahdi Habibi-koolaee ,
1
Leila Shahmoradi ,
2,3
Sharareh R. Niakan Kalhori,
3
Hossein Ghannadan,
4
and Erfan Younesi
5
1
Clinical Research Development Unit (CRDU), Sayad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran
2
Halal Research Center of IRI, FDA, Tehran, Iran
3
Health Information Management Department, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
4
Department of Neurology, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
5
Information Technology for Translational Medicine, L-4362 Esch-sur-Alzette, Luxembourg, Luxembourg
Correspondence should be addressed to Leila Shahmoradi; lshahmoradi20@gmail.com
Received 29 January 2018; Accepted 25 June 2018; Published 26 July 2018
Academic Editor: Jef Bronstein
Copyright © 2018 Mahdi Habibi-koolaee et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Background. Stroke is a leading cause of death and disability worldwide. According to the Iranian Ministry of Medical Health
and Education, out of 100,000 stroke incidents in the country, 25,000 lead to death. Tus, identifying risk factors of stroke can
help healthcare providers to establish prevention strategies. Tis study was conducted to investigate the prevalence of stroke risk
factors and their distribution based on stroke subtypes in Sayad Shirazi Hospital, Gorgan, Northeastern Iran. Material and Methods.
A retrospective hospital-based study was conducted at Sayad Shirazi Hospital in Gorgan, the only referral university hospital for
stroke patients in Gorgan city. All medical records with a diagnosis of stroke were identifed based on the International Classifcation
of Diseases, Revision 10, from August 23, 2015, to August 22, 2016. A valid and reliable data gathering form was used to capture data
about demographics, diagnostics, lifestyle, risk factors, and medical history. Results. Out of 375 cases, two-thirds were marked with
ischemic stroke with mean ages (standard deviation) of 66.4 (14.2) for men and 64.6 (14.2) for women. Te relationship between
stroke subtypes and age groups (P=0.008) and hospital outcome (P=0.0001) was signifcant. Multiple regression analysis showed that
hypertension (Exp. (B) =1.755, P=0.037), diabetes mellitus (Exp. (B) =0.532, P=0.021), and dyslipidemia (Exp. (B) =2.325, P=0.004)
signifcantly increased the risk of ischemic stroke. Conclusion. Overall, hypertension, diabetes mellitus, and dyslipidemia were
the major risk factors of stroke in Gorgan. Establishment of stroke registry (population- or hospital-based) for the province is
recommended.
1. Introduction
Stroke is the second leading cause of death, accounting for
11.13 % of total deaths, and the main cause of disability
worldwide. Te major type of stroke is ischemic, which occurs
in about 87% of all stroke cases [1]. According to Global
Burden of Disease (GBD) study in 2010, more than 11 million
ischemic strokes occurred while 63% of them were in low-
and middle-income countries. Also, near 3 million deaths
occurred due to ischemic stroke [2]. About 13% of stroke is
of a hemorrhagic type [1]. According to GBD study in 2010,
there were about 5.3 million hemorrhagic stroke cases, out
of which about 80% occurred in low- and middle-income
countries. Over 3 million deaths occurred from hemorrhagic
stroke [3]. Te range of incident rates of stroke in Iran
varies [4]. According to the Mashhad Stroke Incidence Study,
conducted during 2006-2007, the age-adjusted incidence rate
of stroke was 203 per 100,000 individuals per year (95 %
CI: 175-231) and this rate could be divided based on the
stroke subtype into 113 (95% CI: 142-192), 26 (95 % CI 16-
36), and 4 (95 %CI 0-8) per 100000 per year for ischemic,
Hindawi
Neurology Research International
Volume 2018, Article ID 2709654, 7 pages
https://doi.org/10.1155/2018/2709654