TY - JOUR
T1 - Ischemic Strokes
T2 - Observations from a Hospital Based Stroke Registry in Bangladesh
AU - Bhowmik, Nirmalendu Bikash
AU - Abbas, Aamir
AU - Saifuddin, Mohammad
AU - Islam, Md Rashedul
AU - Habib, Rumana
AU - Rahman, Aminur
AU - Haque, Md Amirul
AU - Hassan, Zahid
AU - Wasay, Mohammad
N1 - Funding Information:
Funding: this research was supported by the National Institute for Health Research (NIHR) Leeds Biomedical Research Centre.
Publisher Copyright:
© 2016 Nirmalendu Bikash Bhowmik et al.
PY - 2016
Y1 - 2016
N2 - Background. Stroke is an important morbidity for low and middle income countries like Bangladesh. We established the first stroke registry in Bangladesh. Methods. Data was collected from stroke patients who were admitted in Department of Neurology of BIRDEM with first ever stroke, aged between 30 and 90 years. Patients with intracerebral hemorrhage, subarachnoid and subdural hemorrhage, and posttrauma features were excluded. Results. Data was gathered from 679 stroke patients. Mean age was 60.6 years. Almost 68% of patients were male. Small vessel strokes were the most common accounting for 45.4% of all the patients followed by large vessel getting affected in 32.5% of the cases. Only 16 (2.4%) died during treatment, and 436 (64.2%) patients had their mRS score of 3 to 5. Age greater than 70 years was associated with poor outcome on discharge [OR 1.79 (95% CI: 1.05 to 3.06)] adjusting for gender, duration of hospital stay, HDL, and pneumonia. Age, mRS, systolic blood pressure, urinary tract infection, pneumonia, and stroke severity explained the Barthel score. Conclusion. Mortality was low but most of patient had moderate to severe disability at discharge. Age, mRS, systolic blood pressure, urinary tract infection, pneumonia, and stroke severity influenced the Barthel score.
AB - Background. Stroke is an important morbidity for low and middle income countries like Bangladesh. We established the first stroke registry in Bangladesh. Methods. Data was collected from stroke patients who were admitted in Department of Neurology of BIRDEM with first ever stroke, aged between 30 and 90 years. Patients with intracerebral hemorrhage, subarachnoid and subdural hemorrhage, and posttrauma features were excluded. Results. Data was gathered from 679 stroke patients. Mean age was 60.6 years. Almost 68% of patients were male. Small vessel strokes were the most common accounting for 45.4% of all the patients followed by large vessel getting affected in 32.5% of the cases. Only 16 (2.4%) died during treatment, and 436 (64.2%) patients had their mRS score of 3 to 5. Age greater than 70 years was associated with poor outcome on discharge [OR 1.79 (95% CI: 1.05 to 3.06)] adjusting for gender, duration of hospital stay, HDL, and pneumonia. Age, mRS, systolic blood pressure, urinary tract infection, pneumonia, and stroke severity explained the Barthel score. Conclusion. Mortality was low but most of patient had moderate to severe disability at discharge. Age, mRS, systolic blood pressure, urinary tract infection, pneumonia, and stroke severity influenced the Barthel score.
UR - http://www.scopus.com/inward/record.url?scp=84988697049&partnerID=8YFLogxK
U2 - 10.1155/2016/5610797
DO - 10.1155/2016/5610797
M3 - Article
AN - SCOPUS:84988697049
SN - 2090-8105
VL - 2016
JO - Stroke Research and Treatment
JF - Stroke Research and Treatment
M1 - 5610797
ER -