Clinical Features of the Stroke Patients in Bangladesh

Abstract

Original Research Article Background: Nearly three-quarters of all strokes occur in people over the age of 65.Although strokes can and do occur at any age, the risk of having a stroke more than doubles each decade after the age of 55 years. The aim of this study was to assess the clinical status of the stroke patients attended in a tertiary care hospital of Bangladesh. Methods: This descriptive cross sectional study was conducted at the department of Medicine in Sheikh Hasina Medical College and Hospital, Jamalpur, Bangladesh during the period from January 2018 to December 2018. Non randomized, purposive sampling technique was applied for this study. In total 180 stroke patients attended to the mentioned hospitaal were finalized as the sample and all the nurses engaged in the treatment procedure were associated in the study. Data was collected by using a semi structure, pre-tested and modified interviewer administered questionnaire. Statistical package for social science (SPSS) version 20.0 (Chicago) a computer programmed was used to entry and analyze the collected data. Result: Among the respondents 24.6% affected in right side, 23% left side and 20.2% both sides but 32.2 % respondents could not get it diagnosed. In this study, majority of the respondents (95%) family history of CVD was positive, and only 5% family history of CVD was negative. In total 44.3% respondents very suffering from HTN for 1-2 years, followed by 33.9%, 18.6%, and 3.3% suffered for 3-5 years, 6-10 years, and more than10 years respectively whereas 46.2% of the respondents very suffering from DM for 3-5 years, followed by 45.5% for 1-2 years, and rest 8.3% for 6-10 years. There was the association between gender and knowledge on risk factor of stroke is DM. The association is strongly significant where the p-value is 0.000 (which is less than .001). Conclusion: Stroke cases in Bangladesh have significantly increased in number over the past decades; adverse outcome from these cases are also rising due to the low number of neurologists and specialized hospitals in the country. Because stroke poses long-term economic impacts on individuals, families, and the country; study findings urge the government to put more emphasis on healthcare development by building more stroke rehabilitation units and tertiary hospitals to prevent stroke occurrence and recurrence.