DOI: http://dx.doi.org/10.18203/2349-3933.ijam20205471

The study of the risk factor profile of stroke in young: a retrospective study

G. Srinivas, Manoj Muthalik, Y. S. Aashik

Abstract


Background: Cerebrovascular accidents (CVA) is the second leading cause of mortality and morbidity in the world. Traditional risk factors for stroke are not very frequent in young population. However, other permanent or transient risk factors such as smoking, alcohol consumption, use of oral contraceptives, migraine, and puerperium have a more important role in young population. The objective of our study is to establish the risk factor profile in stroke in young.

Methods: This retrospective study of 100 patients of stroke, in the age group of 18–40 years, admitted in the medical wards of BMCRI, Bangalore. The patients were identified from the medical records from January 2018 to June 2019.

Results: Out of 100 patients of stroke in young, males were (58%) than females (42%) sex ratio was 1.38:1. Most common age group was 36-40 years (34%), mean age was 31.24 years. Most common risk factor was Hypertension (34%) followed by smoking (33%), alcohol consumption (28%), diabetes (21%), morbid obesity (12%). Most common type of stroke was ischemic (78%) and hemorrhagic (22%). In our study, 63.6% of hemorrhagic patients had hypertension showing statistically significant. Among patients of ischemic stroke, most common risk factor was smoking and tobacco chewing (32%).

Conclusions: There is rising trend in stroke among young, hence we should evaluate for various risk factors and identification these factors in otherwise healthy individuals and with life style modifications, we can prevent the increase in incidence of Stroke among young.


Keywords


Stroke in young, CVA, Risk factors, Hypertension, Ischemic, Hemorrhagic

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References


Kasper D, Fauci A, Hauser S, Longo D, Jameson J, LosCalvo J. Harrison's Principles of Internal Medicine, 19e,Newyork ;McGraw-Hill Professional publishing. 2015:2559-86.

Murray C J, Lopez A D. Alternative projection of mortality and disability by cause 19902020. Global burden of disease study. Lancet. 1997;349:1498-504.

Sturm JW, Mackay M, Thrift AG; Stroke among women, ethnic groups, young adults and children. In Handbook of Clinical Neurology. Fisher M editor, volume 92, Elsevier, New York, NY, USA, 2009.

Eapen RP, Parikh JH, Patel NT. A study of clinical profile and risk factors of cerebrovascular stroke. Guj Med J. 2009;64(2):47-54

Das SK, Banerjee TK, Biswas A, Roy T, Raut DK, Mukherjee CS, et al. A prospective community-based study of stroke in Kolkata, India. Stroke. 2007;38(3):906-10.

Nagaraja D, Gururaj G, Girish N, Panda S, Roy AK, Sarma GR, et al. Feasibility study of stroke surveillance: data from Bangalore, India. Ind J Medic Res. 2009;130(4):396.

Dayna Griffiths and Jonathan Sturm. Epidemiology and Etiology of Young Stroke. Strok Res Treat. 2011;2011.9.

Maharaj JC, Reddy M. Young stroke mortality in Fiji Islands: An economic analysis of national human capital resource loss. Neurology. 2012;2012.

Hatano S. Experience form a multi-centre stroke register: A preliminary report. Bull WHO. 1976;54:541-3.

Griffiths D, Sturm J. Epidemiology and Etiology of Young Stroke. Strok Res Treat. 2011;2011:209370.

Tripathi M, Vibha D. Stroke in Young in India, Strok Res Treat. 2011;2011:368629.

Aho K, Harmen P, Hatano S, Marquardsen J, Smirnov VE, Strasser T. Cerebrovascular diseases in the community. Results of WHO collaborative study. Bull. WHO 1980;58:113-30.

Chandrashekar G, Reddy AGH. Etiology and Risk Factors of Stroke in Young: A Prospective Study. Int J Sci Stud. 2016;4(7):79-83.

Mehndiratta MM, Agarwal P, Sen K, Sharma B. Stroke in young adults: A study from a university hospital in North India. Med Sci Monit. 2004;10:CR535-41.

Dalal PM. Strokes in young and elderly: Risk factors and strategies for stroke prevention; J Assoc Physic Ind. 1997;45(2):125-30.

Alvarez J, Guiu JM, Somalla J, Molins M, Insa R, Molto JM, et al Ischemic stroke in young adults. Analysis of etiological subgroups. Acta Neurol Scand Jul. 1989;80(1):28-34.

Nagaraj D, Murthy SG, Taly AB, Subbakrishna K, Rao BSS. Risk factors for stroke: Relative risk in young and elderly. Neurol Ind. 1998;46:183-4.

Grindal AB, Choen RJ, Saul RF, Taylor JR. Cerebral infarction in the young adults. Stroke 1978;9:39-42.

Bogousslavsky J, Pierre P. Ischemic stroke in patients under age 45. Neurolog Clinic. 1992;10(1):113-24.

Shinton R, Beevers G. Meta-analysis of relation between cigarette smoking and stroke. Br Medic J. 1989;298(6676):789-94.

Zunni FS, Ahmed M, Hassan KM, Prakash PS. Stroke: Incidence and pattern in Benghazi Libya. Ann Saudi Med. 1995;15(4):32-7.

Patne SV, Chintale KN. Study of clinical profile of stroke patients in rural tertiary health care centre. Int J Adv Med. 2016;3:666-70.

Bevan H, Sharma K, Bradley W. Stroke in young adults. Stroke. 1990;21:382-6.