Volume 19, Issue 2 (6-2020)                   TB 2020, 19(2): 33-42 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Fiuji H, Namayandeh S, Jam barsang S, Erfani M. Epidemiologic Study of the Main Risk Factors for one Year Ischemic Stroke and Surivial in Patients Admitted to the Neurology Department of Ghayim Hospital in Mashhad, Iran, 2015. TB 2020; 19 (2) :33-42
URL: http://tbj.ssu.ac.ir/article-1-2870-en.html
shahid sadoughi university of medical sciences,yazd,iran , epid.ssu@gmail.com
Full-Text [PDF 532 kb]   (962 Downloads)     |   Abstract (HTML)  (1881 Views)
Full-Text:   (2184 Views)
Epidemiologic Study of the Main Risk Factors for one Year Ischemic Stroke and Surivial in Patients Admitted to the Neurology Department of Ghayim Hospital in Mashhad, Iran, 2015
Hadi Fiouji(M.Sc.)1 , Seyedeh Mahdieh Namayandeh(Ph.D.)2, Sara jam Barsang(Ph.D.)3, Marjan
Erfani(Ph.D.)4
1.M.Sc. Student of bioStatistics and Epidemiology, School of public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2.Corresponding Author: Assistant Professor, Department of Statistics and Epidemiology, School of public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.Email: epid.ssu@gmail.com           Tel:09133542510
3.Assistant Professor, Department of Statistics and Epidemiology, School of public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
4. Neurologist, Department of neurology, Ghaem Hospital,Mashhad University of Medical Sciences, Mashhad, Iran
 
Abstract
 
Introduction: Stroke is the third most common cause of death in developed countries and is the most common neurological disabling disease. Today, several risk factors are known for stroke including lifestyle and risk factors such as hypertension and diabetes which differ in cultures and countries. The aim of this study was to determine the frequency of ischemic stroke in patients admitted to the Brain Department of Ghaem Hospital in 1395.
Methods: In this observational cohort study, 201 cases of ischemic stroke who confirmed by neurologists as well as imaging techniques for diagnosis patients hospitalized to the Neurology Section of Ghaem Hospital, Mashhad, Iran During 1395.  The Patients' information such as age, sex, and The place of living and also the type of stroke and its main risk factors, including history of stroke in the past, hypertension, diabetes mellitus, high blood sugar cigar and high blood lipids were extracted from their records and completed in the checklist. 1 year follow up performed by telephone calling. Data were analyzed and examined by SPSS 21 and statistical tests.
Results: According to the analysis, except for the cigarette variable (P-value = 0.003) HDL and TG (P-value = 0.001), no significant relationship was found between the other risk factors of disease risk and sex. In this study, 201 patients with ischemic stroke were studied. The mean age of the participants in the study was 50.92 years. In this study, the prevalence of stroke in men were higher than that of women, 104 (51.7%) for males and 97 (48.3%) for women. In the study of the most important clinical risk factors for stroke, the results showed that the highest prevalence was hypertension in women with 68 (70.1%) and the least of them was smoking with 16 (16.5%). The mean annual death rate in this study was 15.9%, which did not have a significant relationship with sex groups.
Conclusion: In this study, hypertension, having diabetes and high blood glucose levels were the most important risk factors for stroke in patients, these results are in accordance with the previous finding studies. Regarding the results, it seems that the control of blood pressure and diabetes is not effectively considered, which requires further investigation.
 
Keywords: Ischemic stroke, Prevalence, Risk factor one year mortality
Conflict of interest: The authors declared that there is no conflict of interest.
References
1-Sacco RL.An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke.2013;44(7): 2064-89.
2-Wiener C.Harrisons Principles of Internal Medicine Self-Assessment and Board Review 18th Edition. 2012(2).McGraw Hill Professional.
3-Organization WHo, The top 10 causes of death. Geneva, Switzerland: Department of Information, Evidence and Research, WHO.2017.
4-Feigin VL.Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study. The Lancet.2014;383(9913):245-55.
5-Ropper  AM, Samuels, Klein J A, and et al. 2014, Boston: McGraw-Hill. 746.
6-Delbari A, Stroke epidemiology and one-month fatality among an urban population in Iran. International Journal of Stroke.2011;6(3):195-200.
7-Janghorbani  MA. Hamzehee-Moghadam, and Kachoiee H , Epidemiology of Non-Fatal Stroke in South-Eastern Iran. Iranian Journal of medical Sciences.1996;2:3-4.
8-Ahangar  AA, Vaghefi SBA, and Ramaezani  M. Epidemiological evaluation of stroke in Babol, northern Iran (2001–2003). European neurology.2005;54(2): 93-7.
9-Azarpazhooh  MR, Excessive incidence of stroke in Iran: evidence from the Mashhad Stroke Incidence Study (MSIS), a population-based study of stroke in the Middle East. Stroke.2010;41(1): 3-10.
10-Feigin VL, Norrving B, and Mensah GA, Global burden of stroke. Circulation research.2017;120(3):439-48.
11-Ghandehari  K, Epidemiology of Stroke in Iran. Galen Medical Journal.2016;5(1): 3-9.
12-Kernan WN, Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke.2014.
13-Allen, C L and Bayraktutan  U, Risk factors for ischaemic stroke. International journal of Stroke.2008;3(2):105-16.
14-Ghandehari  K , Izadi m Z .Khorasan stroke registry: analysis of  stroke patients. 2007.
15-Eastwood SV.Ethnic differences in associations between blood pressure and stroke in South Asian and European men. Hypertension.2015; 115:05672.
16-Lovett J,Coull  A.Early risk of recurrence by subtype of ischemic stroke in population-based incidence studies. Neurology.2004;62(4): 569-73.
17-Borhani-Haghighi , Hospital mortality associated with stroke in southern Iran. Iranian journal of medical sciences. 2013;38(4):314.
18-Heuschmann PU.Predictors of in-hospital mortality and attributable risks of death after ischemic stroke:the German Stroke Registers Study Group. Archives of internal medicine.2004;164(16):1761-8.
19-Kimura  K.  Mortality and cause of death after hospital discharge in 10,981 patients with ischemic stroke and transient ischemic attack. Cerebrovascular Diseases.2005;19(3):171-8.
20-Putaala J. Demographic and geographic vascular risk factor differences in European young adults with ischemic stroke: the 15 cities young stroke study. Stroke.2012;43(10):2624-30.
21-Green B, Aminoff  M.Headache and facial pain. Clinical Neurology, 8th ed. New York: McGraw-Hill.2012.
22-Farghaly W M .Epidemiology of nonfatal stroke and transient ischemic attack in Al-Kharga District, New Valley, Egypt. Neuropsychiatric disease and treatment.2013;9:1785.
 
 
 
 
 
 

 
Type of Study: Research | Subject: Special
Received: 2018/04/7 | Accepted: 2019/11/28 | Published: 2020/06/30

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Tolooebehdasht

Designed & Developed by : Yektaweb