Pakistan Journal of Medical Sciences

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ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 25

October - December 2009 (Part-II)

Number  6


 

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Clinical audit of stroke patients
presenting at a teaching hospital

Fayaz Ahmed Memon1, Yasmeen khooharo2, Shaukat Ali3, Sajjad4

ABSTRACT

Objective: To determine the mode of presentation, etiology and outcome of patients with stroke.

Methodology: This retrospective one year study was conducted on 50 diagnosed patients with stroke, in the Department of Medicine, Muhammad Medical College Hospital (MMCH) Mirpurkhas from 1st August 2007 to 31st July 2008. All the information was collected from attendants of patients admitted in the intensive care unit for the management of stroke. Collected information was summarized for mode of presentation, etiology such as cerebral hemorrhage, infarction and subarachnoid haemorrhage with the help of computed tomography (CT) scan and outcome of patients with stroke. The data was entered and analyzed in SPSS V 10.1 software

Results: Total 50 patients (30 males and 20 females) were studied. The average age at presentation was 59.5 years. The most common complains were unilateral weakness seen in 16 (32%) patients, loss of consciousness reported by 25 (50%) patients while fever with vomiting was observed in eight (16%) patients. Hypertension was the most frequent risk factor found in 28 (56%) patients whereas 18 (36%) patients were smokers as well as diabetic. Cerebral hemorrhage was seen in 18 (36%) patients, whereas ischemia was responsible for 31(62%) patients. Subarachnoid hemorrhage was found in one (2%) patient only. Eighteen (36%) patients were discharged alive while the remaining 32 (46%) patients died due to fatal nature of disease.

Conclusion: This study showed that the ischemia was the predominant cause of stroke in our patients. Mostly observed in older age group, hypertensive and smoker males. Morbidity and mortality was observed in those patients who reached hospital late. Further basic studies should be conducted for the prevention, early recognition and proper management of risk factors to reduce the incidence of disease and its fatal outcome.

KEY WORDS: Stroke, Hypertension, Ischemia.

Pak J Med Sci    October - December 2009 (Part-II)    Vol. 25 No. 6    968-971

How to cite this article:

Memon FA, Khooharo Y, Ali S, Sajjad. Clinical audit of stroke patients presenting at a teaching hospital. Pak J Med Sci 2009;25(6):968-971.


1. Dr. Fayaz Ahmed Memon, MBBS, FCPS,
Asst Prof, Dept of Medicine.
2. Dr. Yasmeen Khooharo, MBBS, FCPS,
Asst Prof Depart of Obstetrics and Gynecology.
1-2. Muhammad Medical College (MMC),
Mirpurkhas - Sindh, Pakistan.
3. Prof. Shaukat Ali, MBBS, FCPS,
Prof and Head of Dept of Neurology,
Jinnah Post Graduate Medical Centre,
Karachi Pakistan.
4. Dr. Sajjad, MBBS, FCPS,
Senior Registrar Medicine,
Sir Sayed Medical College,
Karachi Pakistan.

Correspondence:

Dr. Fayaz Ahmed Memon FCPS,
Asst Prof, Dept of Medicine,
Muhammad Medical College (MMC)
Mirpurkhas,
Sindh, Pakistan.
E-mail: drfayaz58@yahoo.com 

* Received for Publication: November 1, 2008

* Revision Received: October 5, 2009

* Accepted: October 10, 2009



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