MODIFIABLE RISK FACTORS IN STROKE: A CASE-CONTROL STUDY

Dr. Mohammed Mubashshir, Dr. Arif Hoda, Dr. Santwana Chandrakar

Abstract


Introduction: Reducing the burden of stroke in the population requires identification of modifiable risk factors. The present study was conducted to assess the prevalence of various risk factors for stroke in the patients admitted to our hospital.

Methodology: Consecutive indoor patient admitted for stroke in ward or Intensive Care Unit (ICU) were included and were compared with controls, which where selected from the patients admitted in ward who had no history of stroke.

Results: During the study period, we included 92 cases of stroke and 92 controls. We found a significantly higher proportion of obese in the stroke group as compared to the control group (28% vs 3%). A significantly higher proportion of stroke cases had a sedentary lifestyle as compared to controls (78% vs 39%, p value < 0.05). On obtaining detailed dietary intake history, a significantly lower proportion of stroke cases had fruits and vegetable consumption at least 400 gm/day, a significantly higher proportion of stroke cases had oil/ghee consumption more than 40 gm/day and salt more than 5 gm/day. Personal history revealed a significantly higher proportion of smoking, consuming smokeless tobacco and alcohol among stroke cases as compared to controls. Diabetes mellitus and hypertension cases were also significantly more commonly observed among stroke cases as compared to controls. 

Conclusions: Identifying the risk factors and controlling them early is the only plausible way of reducing the burden of stroke in India.


Keywords


diabetes mellitus; hypertension; risk factors; stroke

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References


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