scholarly journals ELECTROLYTE DISTURBANCES (SODIUM AND POTASSIUM) AMONG ACUTE STROKE PATIENTS AT A TERTIARY CARE HOSPITAL IN WESTERN MAHARASHTRA

2016 ◽  
Vol 5 (70) ◽  
pp. 5127-5130 ◽  
Author(s):  
Swati Aundhakar ◽  
Piyush Prajapati ◽  
Bhavik Shah ◽  
Aken Desai ◽  
Aditya Aundhakar ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Stroke Patients ◽  
Electrolyte Disturbances ◽  
Sodium And Potassium

scholarly journals Magnitude and determinants of depression in acute stroke patients admitted in a rural tertiary care hospital

2015 ◽  
Vol 6 (02) ◽  
pp. 202-207 ◽  
Author(s):  
Amrish Saxena ◽  
Ajitabh Suman
Keyword(s):  
Acute Stroke ◽  
Rating Scale ◽  
Tertiary Care Hospital ◽  
Economic Status ◽  
Tertiary Care ◽  
Care Hospital ◽  
Stroke Patients ◽  
Post Stroke ◽  
Socio Economic Status ◽  
Post Stroke Depression

ABSTRACT Objectives: Depression is one of the most frequent neuropsychiatric disturbances after a cerebrovascular stroke. The frequency of depression in stroke patients has varied widely in different populations. Post stroke depression is an important factor limiting recovery and rehabilitation in acute stroke patients. Settings and Design: A cross-sectional hospital-based study was performed in acute stroke patients admitted in the department of Medicine of a rural teaching tertiary care hospital in central India. Materials and Methods: In all consecutive acute stroke inpatients, the intensity of depression was assessed by a trained person through a questionnaire, Montgomery-Asberg Depression Rating Scale (MADRS), who is blind of the diagnosis and investigations of the patient. Another study person collected the data including demographics, co-morbid diseases or risk factors. Radiological imaging data was noted from the CT/MRI head reports of stroke patients. Results: Of the total 107 stroke patients, 60 (56%) were males and 47 (44%) were females. Sixty-one (57%) of the 107 stroke patients had depression. Of the 107 stroke patients, 35 (33%) had mild depression, 22 (20%) had moderate depression and 4 (4%) had severe depression. The age, gender, education status and co-morbidities of the stroke patient were not associated with depression. The association of socio-economic status and left-sided lesions with depression was found to be statistically significant (P < 0.05). Type and location of the lesion were not associated with depression. Conclusion: Post-stroke depression was present in more than half of the stroke patients and was related to socio-economic status and left-sided hemisphere lesions.

scholarly journals Pattern of electrolyte imbalance and their response to corticosteroid therapy in stroke patients admitted in a tertiary care hospital

2018 ◽  
Vol 28 (2) ◽  
pp. 75-80
Author(s):  
AT Islam ◽  
S Afrose ◽  
ZK Joarder ◽  
KAK Azad
Keyword(s):  
Acute Stroke ◽  
Corticosteroid Therapy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Electrolyte Imbalance ◽  
Control Group ◽  
P Value ◽  
Source Population ◽  
Care Hospital ◽  
Stroke Patients

This prospective, single center, case-control study was designed to see the response of electrolyte imbalance in admitted stroke patients receiving corticosteroid therapy in a tertiary care hospital. In IPD, still in many cases of stroke with cerebral edema, injectable corticosteroids are given frequently. Our aim was to find out the common electrolyte imbalances in different type of acute stroke, and, if there was any difference between the patterns of electrolyte imbalance in patients receiving corticosteroids for management, with those who did not receive.Methods: The source population of this study comprised stroke patients attending the DMCH, between 1st January to 30th June 2014. Total 70 patients, 35 as control and 35 as case group, who received steroids, were randomly enrolled for the study. Detail demographic data were collected from the informant was recorded in structured case report form.Result: In our study, 48 (68.55%) patients had infarction and 22 (31.45%) patients had hemorrhagic stroke. Hyponatremia was detected in majority 51 (72.85%), others imbalances are hypernatremia 9(12.85%), hypokalaemia 31(44.28%), hyperkalaemia 2(2.85%) and hypochloraemia 37(52.85%). Out of 48 ischemic stroke, hypernatraemia, hypokalaemia and hypochloraemia was present among 8(16.66%), 19(39.58%) and 24(50%) patients respectively. Out of 22 haemorrhagic stroke patients, 1(4.54%), 12(54.54%), 2(9.09%) and 13(59.09%) cases were found to have hypernatraemia, hypokalaemia, hyperkalaemia and hypochloraemia respectively. After giving injectable steroids, differences were statistically significant between two group, p-value was 0.016 (p<0.05). Among control group 24(68.57%); improvement observed was insignificant.Conclusion: It was statistically evident that, patients receiving injectable corticosteroids in acute stroke, showed improvement and had better outcome than of those who did not receive.Bangladesh J Medicine Jul 2017; 28(2) : 75-80

scholarly journals Pattern of Stroke in Diabetic and Non-Diabetic Patients Admitted at a Tertiary Care Hospital, a Cross Sectional Study

2021 ◽  
Vol 2 (5) ◽  
pp. 01-05
Author(s):  
Mubashir Ahmed ◽  
Sohail Ahmed Siddiqui ◽  
Abdul Haq ◽  
Atif Ahmed ◽  
Pir Abdul Hayee ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Stroke ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Haemorrhagic Stroke ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional

Objective: To determine the frequency of diabetic among stroke patients and to compare the pattern of stroke in diabetic and non-diabetic stroke patients admitted at a tertiary care hospital in Hyderabad, Sindh. Methods: A cross sectional study enrolled 148 consecutive adult acute stroke patients admitted at Liaquat University Hospital, Hyderabad, during Sep 2014 to Feb 2015. Demographic, clinical, radio-imaging and laboratory data were collected on structured questionnaire to identify diabetes, type of stroke and different risk factors of stroke. Data was entered and analysed by using SPSS version 16. Association was seen by using Pearson’s Chi-square test and Independent t test. A P value of < 0.05 was considered statistically significant. Results: A total of 148 acute stroke cases were enrolled in the study. Males were 92 (62%). Mean age of study participants was 51.21 ± 10.19 years. Diabetes was found in 104 (70.3%) stroke patients. Ischemic stroke was seen in 101 (68.2%) and haemorrhagic stroke seen in 47 (31.8) stroke patients. Diabetes was more common in ischemic stroke 81 (80.2) as compared to haemorrhagic stroke 23 (48.9%) (P< 0.05). Hospital mortality of stroke patients was 37 (25%). No difference of mortality in diabetic and non-diabetic (P>0.05) stroke patients was recorded. Conclusion: Diabetes was found in majority of stroke patients. Ischemic stroke was more common than haemorrhagic stroke. Ischaemic stroke is more prevalent in diabetic whereas haemorrhagic stroke was more in non-diabetic stroke patients. Prognosis of stroke was bad in both diabetic and non-diabetic stroke patients.

Factors Influencing the Pre- and In-Hospital Management of Acute Stroke – Data from a Greek Tertiary Care Hospital

2004 ◽  
Vol 51 (1) ◽  
pp. 35-37 ◽  
Author(s):  
Evangelos Koutlas ◽  
Jobst Rudolf ◽  
Georgios Grivas ◽  
Xenophon Fitsioris ◽  
Georgios Georgiadis
Keyword(s):  
Acute Stroke ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Hospital Management ◽  
Care Hospital ◽  
Factors Influencing
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