An analysis of various clinical presentation, etiological and risk factors among acute ischemic stroke patients admitted at a tertiary care hospital, in North India.

Dr Manish Kulshrestha; Dr Vinit Suri; Dr Anjali Kulshrestha

Volume : IX, Issue : VI, June - 2020

An analysis of various clinical presentation, etiological and risk factors among acute ischemic stroke patients admitted at a tertiary care hospital, in North India.

Dr Manish Kulshrestha, Dr Vinit Suri, Dr Anjali Kulshrestha

Abstract :

Background: South Asian countries constitute 22% of world population and 40% of developing world and account for more than 40% of global burden of stroke death1. There are insufficient studies available on ischemic stroke in Asian countries including India. Aims: The present study aimed at evaluating risk factors, clinical profile and stratification of ischemic Stroke subtypes based on TOAST categories among patients admitted in a tertiary care hospital, in North India. Methods and Material: An Observational prospective hospital based Study was carried out on patients of acute Ischemic stroke admitted within 7 days of symptom onset to a tertiary care hospital during June 2015 to December 2016 who were suitable as per our inclusion and exclusion criteria. Results: A total of 164 acute ischemic stroke patients were enrolled during the study period. Acute ischemic stroke was found comparatively more in Male patients [71%] than in females [29%]. More than one fourth of patients were between 61–70 years (28%) followed by 51–60 (23.8%). The most common risk factors were Hypertension (56.1%) followed by Diabetes (40.2%). The most common clinical presentation was limb weakness in (70.7%) of patients followed by dysarthria (58.5%).The most common subtypes of acute ischemic stroke was undetermined etiology (UDE) in 34.7% followed by Stroke of other determined etiology in 24.3% . Conclusions: The present study suggests that male and middle aged individuals are at increased risk of having acute ischemic stroke. The commonest risk factor in our study was Hypertension, followed by diabetes, CAD, smoking and tobacco chewing. The most common etiology of ischemic stroke was stroke of undetermined etiology.