Hamzullah Khan, Akber Khan Afridi, Saadia Ashraf.
A hospital based study on stratification of risk factors of stroke in Peshawar.
Pak J Med Sci Jan ;22(3):304-7.

Objective: To determine the risk factors of stroke in Peshawar. Design: Prospective observational study. Place and Duration: Medical Wards of Khyber teaching hospital Peshawar from January 2004 to June 2005. Patients and Methods: A questionnaire was prepared in accordance with the objectives of the study. Questionnaire contained detailed history, general physical examination, and neurological examination. Association of risk factors with stroke was also studied. Results: Two hundreds and eleven patients with established diagnosis of stroke were selected. Sixty-six patients (31.27%) had more than one risk factors. The age range of patients was from 27 to 91 years with mean age of 59 years. Out of 211 patients 126 (59.71%) were males and 85(40.28%) females. Risk factors distribution was: Hypertension (55.45%) diabetes (32.70%) hyperlipidemia (19.43%), smoking (10.90%), ischemic heart disease (9.00%), Atrial fibrillation (3.31%) and history of oral contraception use (0.94%). Conclusion: Hypertension, diabetes, hyperlipidemia and smoking are major modifiable risk factors of stroke, which require proper management and counseling of patients.

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