Ischemic Strokes: Observations from a Hospital Based Stroke Registry in Bangladesh
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 an...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2016/5610797 |
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| author | Nirmalendu Bikash Bhowmik Aamir Abbas Mohammad Saifuddin Md. Rashedul Islam Rumana Habib Aminur Rahman Md. Amirul Haque Zahid Hassan Mohammad Wasay |
| author_facet | Nirmalendu Bikash Bhowmik Aamir Abbas Mohammad Saifuddin Md. Rashedul Islam Rumana Habib Aminur Rahman Md. Amirul Haque Zahid Hassan Mohammad Wasay |
| author_sort | Nirmalendu Bikash Bhowmik |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-a724d21f05654fb0a3a719be24deef9d |
| institution | Kabale University |
| issn | 2090-8105 2042-0056 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-a724d21f05654fb0a3a719be24deef9d2025-02-03T06:46:25ZengWileyStroke Research and Treatment2090-81052042-00562016-01-01201610.1155/2016/56107975610797Ischemic Strokes: Observations from a Hospital Based Stroke Registry in BangladeshNirmalendu Bikash Bhowmik0Aamir Abbas1Mohammad Saifuddin2Md. Rashedul Islam3Rumana Habib4Aminur Rahman5Md. Amirul Haque6Zahid Hassan7Mohammad Wasay8Department of Neurology, BIRDEM General Hospital, 122 Kazi Nazrul Islam Avenue, Shahbag, Dhaka 1000, BangladeshDepartment of Medicine, The Aga Khan University & Hospital, Stadium Road, Karachi 74800, PakistanDepartment of Neurology, BIRDEM General Hospital, 122 Kazi Nazrul Islam Avenue, Shahbag, Dhaka 1000, BangladeshDepartment of Neurology, BIRDEM General Hospital, 122 Kazi Nazrul Islam Avenue, Shahbag, Dhaka 1000, BangladeshDepartment of Neurology, BIRDEM General Hospital, 122 Kazi Nazrul Islam Avenue, Shahbag, Dhaka 1000, BangladeshDepartment of Neurology, BIRDEM General Hospital, 122 Kazi Nazrul Islam Avenue, Shahbag, Dhaka 1000, BangladeshDepartment of Neurology, BIRDEM General Hospital, 122 Kazi Nazrul Islam Avenue, Shahbag, Dhaka 1000, BangladeshDepartment of Physiology and Molecular Biology, Bangladesh University of Health Sciences (BUHS), 125/1 Mirpur-1, Dhaka, BangladeshDepartment of Medicine, The Aga Khan University & Hospital, Stadium Road, Karachi 74800, PakistanBackground. 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.http://dx.doi.org/10.1155/2016/5610797 |
| spellingShingle | Nirmalendu Bikash Bhowmik Aamir Abbas Mohammad Saifuddin Md. Rashedul Islam Rumana Habib Aminur Rahman Md. Amirul Haque Zahid Hassan Mohammad Wasay Ischemic Strokes: Observations from a Hospital Based Stroke Registry in Bangladesh Stroke Research and Treatment |
| title | Ischemic Strokes: Observations from a Hospital Based Stroke Registry in Bangladesh |
| title_full | Ischemic Strokes: Observations from a Hospital Based Stroke Registry in Bangladesh |
| title_fullStr | Ischemic Strokes: Observations from a Hospital Based Stroke Registry in Bangladesh |
| title_full_unstemmed | Ischemic Strokes: Observations from a Hospital Based Stroke Registry in Bangladesh |
| title_short | Ischemic Strokes: Observations from a Hospital Based Stroke Registry in Bangladesh |
| title_sort | ischemic strokes observations from a hospital based stroke registry in bangladesh |
| url | http://dx.doi.org/10.1155/2016/5610797 |
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