Prospective-Observational Study: Clinical and Demographic Profile of Acute Stroke Patients

Abstract

Aim: The aim of this study to determine the clinical profile of acute stroke patients.
Methods: This prospective, observational study was conducted in the Department of General
Medicine, Vardhman institute of medical sciences, Pawapuri, Nalanda, Bihar, India A total
of 100consecutive patients with brain stroke who attended the emergency within 24 hours of
stroke were studied. Results: Most of the patients were aged between 60 to 70 years (29%)
and the mean age was 59.39±12.87 years. Majority of the patients (72%) were males and the
male female ratio was 2.57:1. Investigations revealed anemia, raised total WBC count,
hyperglycemia and raised BUN in 43%, 23%, 54% and 16% of the patients respectively. The
most common comorbid condition was hypertension (36%) followed by hypertension with
diabetes mellitus (17%). The other risk factors include dilated cardiomyopathy (DCM),
ischemic heart disease (IHD), hypertension with IHD, hypertensionwith DCM, Diabetes with
atrial fibrillation, diabetes with IHD. Most of the patients were conscious (55%), 20% were
stuporous, drowsy, 15% were arousable, 6% were comatose, 3%were disoriented and 1%
were drowsy. Tachycardia was noted in 5% of the patient, bilateral conducted sounds were
noted in 15% of the patients and bilateral crept in 2% of the patients. Most of the patients
had ischemic stroke (82%) while hemorrhagic stroke was noted in 18% of the patients.
Conclusion:     Ischemic    stroke    constitutes    a    larger    percentage    of    stroke subtypes    on     this    
part    of    the    country.    Proper    strategy    to prevent    and    treat    stroke    is    the    need    of    the    hour.