Distribution of aetiological types of stroke among the diabetic adults admitted with stroke in a referral hospital: an observational study
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20210188Keywords:
Stroke, Diabetes, Hypertension, DyslipidaemiaAbstract
Background: Stroke is one of the most devastating disorders worldwide, in terms of morbidity and mortality. Association of comorbid conditions increase severity and chances of unfavourable outcome in stroke patients. Diabetes is one of the vital comorbidity risk factors reported to be associated with occurrence, poor outcome in stroke patients. An increased incidence of stroke has been reported in advanced age among diabetic patients. The aim of this study was to determine the relative distribution of aetiological types of stroke among the stroke patients having diabetes.
Methods: All adults (18-65) admitted in medicine indoor of Midnapore medical college and hospital with a provisional diagnosis of stroke having random blood glucose level ≥200 mg/dl and/or h/o diabetes were enrolled and screened for different etiological factors e.g., hypertension, dyslipidemia. Age group and gender wise distribution pattern were also obtained.
Results: A total 384 subjects were included in the study. Hypertension was found to be most common (75%) comorbid condition among participants, followed by dyslipidemia (56%). 77.9% of subjects presented with random glucose level of >200 mg/dl.
Conclusions: stroke of either types is very much prevalent among diabetes. Uncontrolled diabetes along with hypertension and dyslipidemia increases the chance many times. Early detection and prompt therapeutic intervention may reduce the mortality rate overall.
References
Habibi-koolaee M, Shahmoradi L, Niakan Kalhori SR, Ghannadan H, Younesi E. Prevalence of Stroke Risk Factors and Their Distribution Based on Stroke Subtypes in Gorgan: A Retrospective Hospital-Based Study-2015-2016. Neurol Res Int. 2018;1-7.
Ovbiagele B, Nguyen-Huynh MN. Stroke Epidemiology: Advancing Our Understanding of Disease Mechanism and Therapy. Neurotherap. 2011;8(3):319-29.
Chong J, Sacco R. Risk factors for stroke, assessing risk, and the mass and high-risk approaches for stroke prevention. In: Gorelick PB, ed. Continuum: Stroke Prevention. Hagerstwon, Maryland: Lippincott Williams and Wilkins. 2005:18-34.
O'Donnell MJ, Xavier D, Liu L, Zhang H, Chin SL, Rao-Melacini P et al. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (The Interstroke Study): a case-control study. Lancet 2010;376:112-23.
World Health Organization. Archived from the original on 31 March 2014. Available at: https://www.who.int/news-room/fact-sheets/detail/diabetes. Retrieved 4 April 2014.
Diabetes Fact sheet N°312". WHO. October 2013. Archived from the original on 26 August 2013. Available at: https://www.who.int/news-room/fact-sheets/detail/diabetes. Retrieved 25 March 2014.
Policardo L, Seghieri G, Francesconi P, Anichini R, Franconi F, Seghieri C et al. Gender difference in diabetes-associated risk of first-ever and recurrent ischemic stroke. J Diabetes Complications. 2015;29:713-7.
Teh WL, Abdin E, Vaingankar JA, Seow E, Sagayadevan V, Shafie S et al. Prevalence of stroke, risk factors, disability and care needs in older adults in Singapore: results from the WiSE study. BMJ Open. 2018;8:e020285.
Rosamond W, Flegal K, Friday G, Furie K, Go A, Greenlund K et al. Heart disease and stroke statistics-2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2007;115:e69-e171.
Rao KVM, Reddy GPK. Prevalence of diabetes among stroke patients: a study in a tertiary care centre. Int J Adv Med. 2016;3(2):189-93
Hasan ZN, Hussein MQ, Haji GF. Hypertension as a Risk Factor: Is It Different in Ischemic Stroke and Acute Myocardial Infarction Comparative Cross-Sectional Study? Int J Hypert. 2011:1-5.
Kumar S. Hypertension and Ischemic Stroke. Hypertens J. 2016;2(1):39-43.
Grace M, Jacob KJ, Kumar AV, Shameer VK. Role of dyslipidemia in stroke and comparison of lipid profile in ischemic and hemorrhagic stroke -a case control study. Int J Adv Med. 2016;3(3):694-8.
