CLINICAL PROFILE OF STROKE PATIENTS IN GOTONG ROYONG HOSPITAL
Abstract
Background: Stroke is a global health issue due to its high prevalence, mortality, and associated disabilities. The Global Burden of Disease Study identifies ischemic and hemorrhagic strokes as significant contributors to global health burdens. Understanding these factors in different populations is crucial for developing targeted interventions and improving patient outcomes.
Methods: This retrospective descriptive study analyzed medical records of stroke patients at Gotong Royong Hospital from January to December 2023. Patients aged 18 years or older with acute stroke confirmed by CT or MRI were included.
Results: Out of 224 stroke patients, 58% were male and 42% female. Most patients were over 70 years old (31.7%), with 29% aged 51-60 and 26.3% aged 61-70. Ischemic stroke was predominant (91.5%), while 8.5% had hemorrhagic stroke. Many patients (40.2%) arrived at the emergency department more than 24 hours after symptom onset. Hypertension was present in 68.8% of patients, diabetes in 36.6%, and dyslipidemia in 24.1%. The average length of stay was 4.13 days. Blood pressure measurements showed high prevalence of Grade 2 hypertension in systolic (37.05%) and prehypertension in diastolic (30.80%). Laboratory results revealed mean random blood glucose of 174.3 mg/dL, fasting blood glucose of 110.42 mg/dL, HbA1C of 8.06%, LDL cholesterol of 120.31 mg/dL, and triglycerides of 151.26 mg/dL.
Conclusion: The majority of acute stroke patients at Gotong Royong Hospital are male, over 60, with ischemic stroke, and present more than 24 hours post-onset. These patients typically have a history of hypertension but no previous strokes, with an average hospital stay of 4 days. Many exhibit Grade 2 hypertension in systolic blood pressure and prehypertension in diastolic pressure. Understanding these profiles can guide better management and preventive strategies for stroke patients.
Keywords
Full Text:
PDFReferences
Feigin VL, Krishnamurthi R V., Parmar P, Norrving B, Mensah GA, Bennett DA, et al. Update on the Global Burden of Ischemic and Hemorrhagic Stroke in 1990-2013: The GBD 2013 Study. Neuroepidemiology. 2015;45(3):16176. doi: 10.1159/000441085
Barbay M, Diouf M, Roussel M, Godefroy O. Systematic Review and Meta-Analysis of Prevalence in Post-Stroke Neurocognitive Disorders in Hospital-Based Studies. Dement Geriatr Cogn Disord. 2018;46(56):32234. doi: 10.1159/000492920
Yi X, Luo H, Zhou J, Yu M, Chen X, Tan L, et al. Prevalence of stroke and stroke related risk factors: a population based cross sectional survey in southwestern China. BMC Neurol. 2020; doi: 10.21203/rs.2.17357/v3
Wu L, Wang A, Wang X, Zhao X, Wang C, Liu L, et al. Factors for short-term outcomes in patients with a minor stroke: results from China National Stroke Registry. BMC Neurol. 2015 Dec 9;15(1):253. doi: 10.1186/s12883-015-0505-z
Putri K, Tri Antika Rizki, Rahayu LP, Agustina EN. Stroke Recurrence Based on Stroke Prognosis Instrument II (SPI-II) and The Attack Number of Stroke. KnE Life Sci. 2019 Oct 9; doi: 10.18502/kls.v4i13.5352
Ru X, Wang W, Sun H, Sun D, Fu J, Ge S, et al. Geographical Difference, Rural-urban Transition and Trend in Stroke Prevalence in China: Findings from a National Epidemiological Survey of Stroke in China. Sci Rep. 2019 Nov 22;9(1):17330. doi: 10.1038/s41598-019-53848-1
Ahangar AA, Saadat P, Heidari B, Taheri ST, Alijanpour S. Sex difference in types and distribution of risk factors in ischemic and hemorrhagic stroke. Int J Stroke. 2018 Jan 31;13(1):836. doi: 10.1177/1747493017724626
Thammasarn K, Loahasiriwong W, Mahato RK, Sornlom K. Spatial Association Between Sociodemographic, Environmental Factors and Prevalence of Stroke Among Diabetes and Hypertension Patients in Thailand. Open Public Health J. 2022 Dec 2;15(1). doi: 10.2174/18749445-v15-e2210191
Li Q, Wu H, Yue W, Dai Q, Liang H, Bian H, et al. Prevalence of Stroke and Vascular Risk Factors in China: a Nationwide Community-based Study. Sci Rep. 2017 Jul 25;7(1):6402. doi: 10.1038/s41598-017-06691-1
De Ronchi D, Palmer K, Pioggiosi P, Atti AR, Berardi D, Ferrari B, et al. The Combined Effect of Age, Education, and Stroke on Dementia and Cognitive Impairment No Dementia in the Elderly. Dement Geriatr Cogn Disord. 2007;24(4):26673. doi: 10.1159/000107102
World Health Organization. WHO methods and data sources for country-level causes of death 2000-2019. Geneva; 2020.
Hu L, Huang X, Zhou W, You C, Liang Q, Zhou D, et al. Associations between resting heart rate, hypertension, and stroke: A population?based cross?sectional study. J Clin Hypertens. 2019 May 5;21(5):58997. doi: 10.1111/jch.13529
Balagopal K, Mathew SR, Koshy RA. Clinical profile of patients with acute ischaemic stroke undergoing thrombolysis in a tertiary hospital- A retrospective observational study. IP Indian J Neurosci. 2024 Apr 28;10(1):1421. doi: 10.18231/j.ijn.2024.004
Thrinetrapriya NA, Jagadeesan M. Prevalence, Clinical Profile and Outcome of Patients Presenting with Stroke. J Pharm Res Int. 2021 Nov 9;14657. doi: 10.9734/jpri/2021/v33i48B33273
Bhutta ZA, Akhtar N, Pathan SA, Castren M, Harris T, Ganesan GS, et al. Epidemiological profile of stroke in Qatar: Insights from a seven-year observational study. J Clin Neurosci. 2024 May;123:305. doi: 10.1016/j.jocn.2024.03.014
Guo X, Xiong Y, Huang X, Pan Z, Kang X, Chen C, et al. Sex-based differences in long-term outcomes after stroke: A meta-analysis. Nasreldein A, editor. PLoS One. 2023 Apr 27;18(4):e0283204. doi: 10.1371/journal.pone.0283204
Ryu WS, Chung J, Schellingerhout D, Jeong SW, Kim HR, Park JE, et al. Biological Mechanism of Sex Difference in Stroke Manifestation and Outcomes. Neurology. 2023 Jun 13;100(24). doi: 10.1212/WNL.0000000000207346
Dimitrov GT, Danovska MP, Marinova DL, Stoev PG, Simeonova YI. GENDER-RELATED DIFFERENCES IN MODIFIABLE RISK FACTORS AND ISCHEMIC STROKE SUBTYPE IN YOUNG AND MIDDLE-AGED PATIENTS A PROSPECTIVE STUDY. J IMAB - Annu Proceeding (Scientific Pap. 2023 Jan 3;29(1):47939. doi: 10.5272/jimab.2023291.4793
Chung JY, Lee BN, Kim YS, Shin BS, Kang HG. Sex differences and risk factors in recurrent ischemic stroke. Front Neurol. 2023 Jan 26;14. doi: 10.3389/fneur.2023.1028431
Lappe C, Reinecke H, Feld J, Kppe J. Sex Differences in Ischemic Cerebral Infarction: A Nationwide German Real-Life Analysis from 2014 to 2019. Clin Transl Neurosci. 2022 Sep 12;6(3):23. doi: 10.3390/ctn6030023
Sreevani S, Paramjyothi P. INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH CLINICAL PROFILE OF STROKE PATIENTS IN TERTIARY CARE CENTRE General Medicine Dr . Sapuri Sreevani * Dr . Pitta Paramjyothi ABSTRACT Diabetesmellitus Dyslipidemia Hdl ( high Density Lipoproteins ) Hypertension S. Int J Sci Res. 2018;7(7):302. doi: https://www.doi.org/10.36106/ijsr
Itagi A, G. B, Biradarpatil P, Pattanashetti L. A study on clinical profile of acute stroke. Int J Adv Med. 2020 Nov 23;7(12):1809. doi: 10.18203/2349-3933.ijam20204966
Simmons CA, Poupore N, Nathaniel TI. Age Stratification and Stroke Severity in the Telestroke Network. J Clin Med. 2023 Feb 14;12(4):1519. doi: 10.3390/jcm12041519
Saeed S, Waje?Andreassen U, Naess H, Fromm A, Nilsson PM. The impact of age and 24?h blood pressure on arterial health in acute ischemic stroke patients: The Norwegian stroke in the young study. J Clin Hypertens. 2021 Oct 7;23(10):19229. doi: 10.1111/jch.14361
Stevano R, Margono JT, Sutanto A. Clinical Profile And Risk Factors Of Stroke: A Comparative Analytical Study Between Young And Old Onset. Magna Neurol. 2023 Jan 1;1(1):136. doi: 10.20961/magnaneurologica.v1i1.470
Krishnamurthi R V., Ikeda T, Feigin VL. Global, Regional and Country-Specific Burden of Ischaemic Stroke, Intracerebral Haemorrhage and Subarachnoid Haemorrhage: A Systematic Analysis of the Global Burden of Disease Study 2017. Neuroepidemiology. 2020;54(2):1719. doi: 10.1159/000506396
Mac Grory B, Xian Y, Solomon N, Matsouaka R, Decker-palmer M, Fonarow GC, et al. Abstract 35: Unmet Need In Acute Ischemic Stroke Patients Arriving After 4.5 Hours. Stroke. 2022 Feb;53(Suppl_1). doi: 10.1161/str.53.suppl_1.35
Saver JL, Smith EE, Fonarow GC, Reeves MJ, Zhao X, Olson DM, et al. The Golden Hour and Acute Brain Ischemia. Stroke. 2010 Jul;41(7):14319. doi: 10.1161/STROKEAHA.110.583815
Ambarika R, Anggraini NA. Golden Period in Terms of Knowledge Family of Early Detection of Stroke for Stroke Patients in Installation of Emergency. Malaysian J Med Res. 2022;06(03):304. doi: 10.31674/mjmr.2022.v6i03.004
Retnaningsih R, Hendartono TK. PROFIL PASIEN STROKE ISKEMIK AKUT DENGAN TERAPI RECOMBINANT TISSUE PLASMINOGEN ACTIVATOR DI RSUP DR. KARIADI SEMARANG. Maj Kedokt Neurosains Perhimpun Dr Spes Saraf Indones. 2020 Sep 29;36(4). doi: 10.52386/neurona.v36i4.86
Dinata CA, Safrita YS, Sastri S. Gambaran Faktor Risiko dan Tipe Stroke pada Pasien Rawat Inap di Bagian Penyakit Dalam RSUD Kabupaten Solok Selatan Periode 1 Januari 2010 - 31 Juni 2012. J Kesehat Andalas. 2013 May 1;2(2):57. doi: 10.25077/jka.v2i2.119
Gordon W, Ilorah C. Abstract 90: Meta-analysis Of Early Treatment Of Hypertension In Acute Ischemic Stroke And Functional Outcome. Stroke. 2022 Feb;53(Suppl_1). doi: 10.1161/str.53.suppl_1.90
Mahapatra U, Ganai S, Pulai D, Saha D, Swaika BC. Distribution of aetiological types of stroke among the diabetic adults admitted with stroke in a referral hospital: an observational study. Int J Basic Clin Pharmacol. 2021 Jan 25;10(2):182. doi: 10.18203/2319-2003.ijbcp20210188
Ambresh A, K R M. Association between HBA1C and NIHSS score in stroke. IP Indian J Neurosci. 2021 Sep 28;7(3):1927. doi: 10.18231/j.ijn.2021.034
Matz K, Tuomilehto J, Teuschl Y, Dachenhausen A, Brainin M. Comparison of oral glucose tolerance test and HbA1c in detection of disorders of glucose metabolism in patients with acute stroke. Cardiovasc Diabetol. 2020 Dec 5;19(1):204. doi: 10.1186/s12933-020-01182-6
Wang YL, Leng XY, Dong Y, Hou XH, Tong L, Ma YH, et al. Fasting glucose and HbA1c levels as risk factors for the presence of intracranial atherosclerotic stenosis. Ann Transl Med. 2019 Dec;7(24):804804. doi: 10.21037/atm.2019.12.56
Rahman A, Dasgupta R, Quraishi F, Saha U, Ali Z, Hossain S, et al. Association between Plasma Homocysteine Level and Ischemic Stroke. J Bangladesh Coll Physicians Surg. 2014 Nov 27;31(3):12833. doi: 10.3329/jbcps.v31i3.20978
Kar A, Dash C, Murmu M, Mahesh K. P. K. Study of lipid profile in cases of non-diabetic stroke. Int J Adv Med. 2018 Jan 18;5(1):82. doi: 10.18203/2349-3933.ijam20180063
Kanagarajan NG, Ningthoukhongjam R, Ningshen R, Singh TG, Khruomo V. A cross-sectional study of impact of dyslipidemia in stroke. Int J Adv Med. 2020 Oct 21;7(11):1670. doi: 10.18203/2349-3933.ijam20204518
Yaghi S, Elkind MSV. Lipids and Cerebrovascular Disease. Stroke. 2015 Nov;46(11):33228. doi: 10.1161/STROKEAHA.115.011164
DOI: https://doi.org/10.33508/jwmj.v6i3.5781
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Journal of Widya Medika Junior is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License