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...

Descripción completa

Detalles Bibliográficos
Autores principales: Bhowmik, Nirmalendu Bikash, Abbas, Aamir, Saifuddin, Mohammad, Islam, Md. Rashedul, Habib, Rumana, Rahman, Aminur, Haque, Md. Amirul, Hassan, Zahid, Wasay, Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5027294/
https://www.ncbi.nlm.nih.gov/pubmed/27688924
http://dx.doi.org/10.1155/2016/5610797
_version_ 1782454216060567552
author Bhowmik, Nirmalendu Bikash
Abbas, Aamir
Saifuddin, Mohammad
Islam, Md. Rashedul
Habib, Rumana
Rahman, Aminur
Haque, Md. Amirul
Hassan, Zahid
Wasay, Mohammad
author_facet Bhowmik, Nirmalendu Bikash
Abbas, Aamir
Saifuddin, Mohammad
Islam, Md. Rashedul
Habib, Rumana
Rahman, Aminur
Haque, Md. Amirul
Hassan, Zahid
Wasay, Mohammad
author_sort Bhowmik, Nirmalendu Bikash
collection PubMed
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 Online
Article
Text
id pubmed-5027294
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-50272942016-09-29 Ischemic Strokes: Observations from a Hospital Based Stroke Registry in Bangladesh Bhowmik, Nirmalendu Bikash Abbas, Aamir Saifuddin, Mohammad Islam, Md. Rashedul Habib, Rumana Rahman, Aminur Haque, Md. Amirul Hassan, Zahid Wasay, Mohammad Stroke Res Treat Research Article 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. Hindawi Publishing Corporation 2016 2016-09-05 /pmc/articles/PMC5027294/ /pubmed/27688924 http://dx.doi.org/10.1155/2016/5610797 Text en Copyright © 2016 Nirmalendu Bikash Bhowmik et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Bhowmik, Nirmalendu Bikash
Abbas, Aamir
Saifuddin, Mohammad
Islam, Md. Rashedul
Habib, Rumana
Rahman, Aminur
Haque, Md. Amirul
Hassan, Zahid
Wasay, Mohammad
Ischemic Strokes: Observations from a Hospital Based Stroke Registry in Bangladesh
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
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5027294/
https://www.ncbi.nlm.nih.gov/pubmed/27688924
http://dx.doi.org/10.1155/2016/5610797
work_keys_str_mv AT bhowmiknirmalendubikash ischemicstrokesobservationsfromahospitalbasedstrokeregistryinbangladesh
AT abbasaamir ischemicstrokesobservationsfromahospitalbasedstrokeregistryinbangladesh
AT saifuddinmohammad ischemicstrokesobservationsfromahospitalbasedstrokeregistryinbangladesh
AT islammdrashedul ischemicstrokesobservationsfromahospitalbasedstrokeregistryinbangladesh
AT habibrumana ischemicstrokesobservationsfromahospitalbasedstrokeregistryinbangladesh
AT rahmanaminur ischemicstrokesobservationsfromahospitalbasedstrokeregistryinbangladesh
AT haquemdamirul ischemicstrokesobservationsfromahospitalbasedstrokeregistryinbangladesh
AT hassanzahid ischemicstrokesobservationsfromahospitalbasedstrokeregistryinbangladesh
AT wasaymohammad ischemicstrokesobservationsfromahospitalbasedstrokeregistryinbangladesh