A Study on Management of Stroke in a Tertiary Care Hospital

Bini Susan Isaac¹ , Bharathi.D.R ² , Priyanka.N ³ , Joshni John⁴

Section:Research Paper, Product Type: Isroset-Journal
Vol.5 , Issue.1 , pp.26-41, Jan-2019

Online published on Jan 31, 2019

Copyright © Bini Susan Isaac, Bharathi.D.R ,Priyanka.N, Joshni John . This 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.
 

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Abstract :
Aim : According to World Health Organisation,15 million people suffer stroke worldwide each year. Of these 5 million die and another 5 million are permanently disabled. Stroke has already reached epidemic proportions .1 in 6 people worldwide will have a stroke in their life time. One of the main disease processes leading to stroke is Diabetes Mellitus. The prevalence of stroke increases significantly with age and other risk factors includes tobacco use, physical inactivity, unhealthy diet, harmful use of alcohol, atrial fibrillation, raised lipid levels, obesity ,male gender, genetic disposition and psychological factors. So it is necessary to identify the risk factors and to assess the prescription pattern of stroke, whereby further complications can be prevented to a larger extend. Objectives: To assess the prevalence of stroke, to assess the risk factors associated with stroke ,to assess the prescription pattern of stroke, to assess the impact of patient counseling regarding stroke. Materials and Methods : A prospective observational study conducted for a period of six months in Intensive Care Unit of Basaveshwara Medical College Hospital and Research Centre ,Chitradurga. Results: The prevalence of stroke was found to be 50 %.The non modifiable risk factors mainly include age and sex. The age group between 51- 60 were more prone to have stroke(57.3%),among which males are more prone (68.8%). Modifiable risk factors which includes hypertension, diabetes mellitus, alcohol and smoking. Among these risk factors hypertension is more prevalent (85.2%).The most commonly prescribing drugs given for the management of stroke were anti hypertensives (26.1%) ,followed by other drugs which includes citicoline and piracetam (23.5%), followed by antiplatelets which includes clopiogrel, aspirin mixed (17.5%), followed by hypolipidemic drugs (12.7%).The least prescribed drugs were anti diabetics (5.3%) . Conclusion: The present study helped to identify the cases with predominant symptoms of stroke and to estimate various risk factors in such patients. These findings in our study stress the need for early appropriate management to prevent further complications of stroke. Combination therapy, life style changes and better management of risk factors said to have a major effect on recovery of stroke with improved symptoms.

Key-Words / Index Term :
Prevalence, risk factors, prescription pattern

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