OBSERVATION ON THE CAUSATIVE FACTORS AND PROGNOSIS OF ACUTE STROKE IN PATIENTS ADMITTED TO GOVERNMENT MEDICAL COLLEGE & HOSPITAL, HALDWANI NAINITAL (UTTARAKHAND)

Soniya1*, Mahendra Kumar2, Makrand Singh V. Satyawali4, Ankita Rajput5, Yatendra Singh6

Soniya1*, Mahendra Kumar2, Makrand Singh V. Satyawali4, Ankita Rajput5, Yatendra Singh6 1 P G –III Year, Department of General Medicine, Government Medical College, Haldwani, Distt. Nainital, Uttarakhand, India. 2Professor & Head, Department of General Medicine, Government Medical College, Haldwani, Distt., Nainital, Uttarakhand, India. 3Associate Professor, Department of General Medicine, Government Medical College, Haldwani, Distt., Nainital, Uttarakhand, India. 4Associate Professor, Department of General Medicine, Government Medical College, Haldwani, Distt., Nainital, Uttarakhand, India. 5Assistant Professor, Department of General Medicine, Government Medical College, Haldwani, Distt-Nainital, Uttarakhand, India. 6Assistant Professor, Department of General Medicine, Government Medical College, Haldwani, Distt., Nainital., Uttarakhand, India.

Abstract

Observation of the frequency of causative factors and prognosis of acute stroke in patients admitted to Government Medical College Haldwani, and associated Dr. S.T.M. hospital Nainital (Uttarakhand) India. This study is hospital based observational study. This study was done in medical wards of GMC Haldwani from Nov 2011 to August 2013. In this study patients having age 18 years or above, presenting with history of stroke and admitted in medical wards were included in this study. CT scan brain was done at the time of admission. For identification of risk factors, a detail history and relevant investigations were done in same hospital. All findings were entered in individual proforma. A total of 50 patients were included in the study. The mean age of patients was 60.76 ± 14.53 years. 26 (52%) patients were male and 24 (48%) patients were female. In risk factors, 31 (62%) patients had hypertension, 14 (28%) patients had diabetes mellitus, 11 (22%) patients had history of smoking, 5 (10%) patients had previous stroke/TIA and 14 (28%) patients had high cholesterol level. the patients belonging to low GCS score had bad prognosis. We found that hypertension, diabetes mellitus, smoking and high cholesterol level were major modifiable risk factors in the development of stroke. Controlling of these risk factors might reduce the risk of stroke.

Key words: Acute stroke, CT, Risk factors, Hypertension, Diabetes mellitus.