A Retrospective Study of Clinical Profile of Stroke Victims in Coimbatore Medical College Hospital

Abstract

Background: Stroke is one of the leading causes of morbidity & mortality in India. After coronary heart disease &cancer stroke is the third commonest cause of death worldwide. Indian studies have shown a stroke prevalence of 471 /100000 population. The objective was to study the clinical profile, risk factors, neurological characters, pattern of brain stroke, areas of brain affected as per CT scan findings in patients admitted in Coimbatore Medical College and Hospital, Methods: This is a retrospective study of all patients managed for cerebrovascular accident in the medical ward of Coimbatore medical college and hospital, Tamilnadu from January 1, 2016 to June 30, 2016. Results: The cerebrovascular accident is more common in males (59.7%) than females (40.3%). Most common age group was 61-70 years (32.8%). Most common clinical feature was hemiplegia (72.6%). Most common risk factor was Hypertension (34%) followed by past h/o cerebrovascular stroke (15%), smoking (14%), dyslipidemia (13%). Most common type of stroke was ischemic (74.6%) & hemorrhagic was 2nd (22.9%). In ischemic stroke most common involved areas were parietal (33.7%), frontal (16.7%). In hemorrhagic stroke most common site was thalamus (24.7%) followed by ventricular (17.5%). Conclusions: The cerebrovascular accident cases were having male predominance with Hypertension was the most common risk factor and most common type of stroke was ischemic.