Home    eJManager.com Add Your Journal   |    Follow on Twitter   |    Subscribe to List

Directory for Medical Articles
 

Open Access

Original Research

RMJ. 2016; 41(4): 398-401


Pattern and risk factors for stroke in a District Hospital of Johor Malaysia

Yang Liang Boo, Hong Tak Lim, Chee Ming Goh, Nai Chien Huan, Pek Woon Chin, Siew Mooi Ching, Fan Kee Hoo.

Abstract
Objective: To explore the demographic data, risk factors and patterns of stroke patients in a Malaysia district hospital.
Methodology: This observational study was conducted in a district hospital of Johor, Malaysia from July 2014 to December 2014. Risk factors, clinical characteristics, and details of the acute stroke were analysed.
Results: 143 patients were recruited with a mean age of 62±14 years old. 61.5% were male and 70.6% with the education level of primary school and below. The top three risk factors for stroke were hypertension (76.2%), diabetes (51.0%) and dyslipidemia (18.2%). CT brain showed infarction in 69 (48.3%) patients, 23 (16.1%) had haemorrhage, and normal in 50 (35%) patients. The median hospital arrival time was 13.6 hours (IQR: 13.5 hours) with 43 (30.1%) patients arrived hospital less than 4.5 hours. The median time of the door to CT scannin was 95 minutes (IQR: 132 minutes). The mean NIHSS score was 8.7. According to TOAST classification 82 (52.7%) patients had small-vessel occlusion disease while 28 (19.6%) patients were large artery disease.
Conclusion: With one-third of the patients arriving the hospital within 4.5 hours, the option of thrombolysis as the mainstay of treatment in acute ischemic stroke needs to be explored in a district hospital. Public awareness of signs and symptoms of stroke is important to promote the eligibility of thrombolysis therapy. Furthermore, optimisation of risk factors will play a role in reducing the incidence of stroke.

Key words: stroke, prevalence, Malaysia, district hospital cerebrovascular accident



Share this Article




ScopeMed Home
Follow ScopeMed on Twitter
Article Tools
Job Opportunities/Service Offers
eJManager OJMS
eJPort Journal Hosting
About ScopeMed
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Service of eJManager LLC Publishing for Scientific Publications. Copyright © ScopeMedź Information Services.
Scopemed Buttons