Clinical profile, Computed Tomography findings and Outcome of Stroke patients in a Tertiary care Hospital

Naveen P; Ramakrishnan; Sailaja Y

Volume : VII, Issue : VII, July - 2018

Clinical profile, Computed Tomography findings and Outcome of Stroke patients in a Tertiary care Hospital

Naveen P, Ramakrishnan, Sailaja Y

Abstract :

Background: Stroke is a huge public health concern. Presenting clinical features and findings, time of onset and time taken to seek health care facilities, CT findings and treatment modalities either directly or indirectly affects the outcome of stroke. Though all these were known to have impact on the outcome, many times all these were ought to light. Hence, this study was planned.

Objectives: To assess, clinical profile, computerized tomography findings and treatment outcome among the patients with stroke.

Methods: Prospective study was conducted among patients admitted in department of Neurology and general medicine in Meenakshi Medical College Hospital and Research Institute, Kanchipuram during the period of November 2016 to November 2017. All patients above the age of 15 years, who presented with clinical features suggestive of stroke, were subjected to CT scan of ain and patients with evidence of acute ischemic infarct were included. Patients with hemorrhagic stroke and CT imaging showing venous infarcts were excluded. 490 patients were included and data was collected and analyzed using SPSS version 16.

Results: Mean age of participants was 54.6+11.4 years. Left hemiparesis, aphasia and dysarthria were noted in 55.46%, 29.8% and 39.7% of patients.56.53% of patient had noted stroke on awakening.Only 4.4% of patients reached the hospital within three hours of onset of stroke. MCA, PCA and ACA were involved in 77.55%, 8.57% and 4.9% of total infarcts. 64.29% of patients had mild to moderate stroke (mRS grading). Mortality rate was 6.93% on tenth day of stroke onset.

Conclusion: Though clinical picture was similar to other studies, the time duration between onset of stroke and hospitalization and CT scan taken were poor. Also, the significant difference in outcome among the heparin group and non heparin group was noted only in patients with less severity grades of stroke.