Volume : VI, Issue : V, May - 2016

Study of the presence of conventional and newer risk factors in the patients of stroke and its relation with outcome

Dr. Vinayaga Pandian. Sakthivel, Dr. Santosh Govind Rathod

Abstract :

 Background: Acute cereovascular accidents or commonly called as stroke have become the leading cause of morbidity and mortality in most of the nations of the world. The aim of the present study was to estimate the presence of existing(conventional)risk factors like hypertension, diabetes mellitus, dyslipidemia, tobacco use, obesity and emerging risk factors like hyperhomocysteinemia, raised CRP levels, raised ferritin levels, raised lipoprotein(A) levels and presence of hypercoagulable states.The present study also tried to find out any association with the presence of risk factors and the outcome of stroke in terms of neurological improvement. Methods and Results:A one point prospective study was conducted among a total of 75 patients who were railway employees aged 16 years and above (N=75), and had presented to the Emergency room or the neurology OPD with stroke of less than 30 days duration Evaluation for conventional cereovascular risk factors like body mass index, blood pressure, serum lipids, blood glucose levels and newer risk factors like serum hs–crp levels, serum lipoprotein (A levels),serum homocysteine levels, serum ferritin levels were performed using standard definitions. The mean age of the study population was 55.2 + 12.3 years. There was a high prevalence of major cereovascular risk factors like smoking in 16(21.3%), diabetes mellitus in 20(26.7%), hypertension in 63(84%), dyslipidemia in 63(84%),raised hs–crp levels in 32(69.3%),raised lipoprotein A levels in 42(56%),raised homocysteine levels in 67(89.3%),raised ferritin levels in14(18.67%) and presence of hypercoagulablestates in 34(45.33%).All the patients were evaluated for any improvement in the power of affected area of body at the time of admission to neurology unit and at the end of 3 months. Any relation to the presence of risk factors and course of outcome in terms of improvement in muscle power was studied. Conclusion: The study demonstrated an overall high presence of the cereovascular risk factor more from the conventional ones and some from the newer ones in the railway employees affected with stroke but its association with the course of outcome was not present. This study gives us an insight to the risk factors among the railway employee population and also explains the need to initiate a comprehensive health promotion and cereovascular disease prevention programme at workplace and community level.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.Vinayaga Pandian.SAKTHIVEL, Dr. Santosh Govind Rathod Study of the presence of conventional and newer risk factors in the patients of stroke and its relation with outcome Indian Journal of Applied Research, Vol.6, Issue : 5 MAY 2016

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