Muhammad Imran Hasan Khan, Asim Hameed, Zohaib Abbas Khan, Sana Fatima.
Stroke clinical patterns of stroke in Lahore general hospital, a tertiary care center.
Professional Med J Jan ;23(05):539-45.

Background: Stroke is a leading cause of disability and the second principal cause of death in the world. The aim of this study was to analyze different characteristics in stroke patients in Medical Unit 1 of Lahore General Hospital, which is biggest referral hospital for Neurology patients in Punjab, to identify the risk factors and help in targeting prevention in our patients. Study Design: Descriptive study. Setting: Lahore General Hospital, Lahore. Period: January 2016, including data from January to November 2015. Methods: The demographic data, clinical manifestations, risk factors, side of weakness, cranial nerves involved, neurological weakness and Glasgow Coma Scale, duration of stay in hospital and outcome were included in the data. For the comparison between categorical variables Chi-square test was used. For other variables, t-test was used. Results: A total of 235 patients with stroke, age 20 to 105 (mean ±SD= 58±14.6) were included. 127 (54%) had Ischemic stroke (IS) and 100 (42.6%) had hemorrhagic stroke (HS). 127 (54%) were men and 108 (46%) were women. 17.9% of the patients with IS and 21.7% of the patients with HS died (OR 0.65 95% CI 0.48-0.89). Hypertension, diabetes and dyslipidemia were the most common risk factors. Conclusion: Burden of stroke is high in Pakistan. Mean age of patients with stroke is less. Hypertension, diabetes, dyslipidemia and smoking are highly prevalent and hypertension is the most common. Ischemic strokes are more common, mortality of intra-cerebral hemorrhage is higher.

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