scholarly journals Study of Aetiological and Clinical Profile of Stroke Patients with Special Reference to Baseline Intracranial Haemorrhage Score in Haemorrhagic Stroke in North East India - A Hospital Based Cross-Sectional Study

2021 ◽  
Vol 10 (13) ◽  
pp. 947-951
Author(s):  
Balaji Dhanabalan ◽  
Anupam Dutta ◽  
Ajit Kumar Pegu ◽  
Bharath H. R ◽  
Bhabani Sankar Dhal
Keyword(s):  
Risk Factor ◽  
Basal Ganglia ◽  
Intracranial Haemorrhage ◽  
Haemorrhagic Stroke ◽  
Stroke Patients ◽  
North East India ◽  
North East ◽  
Ich Score ◽  
Gcs Score ◽  
Time Of Presentation

BACKGROUND As defined by World Health Organization (WHO), stroke is accountable for 5 million deaths and 5 million disabled patients throughout the world. The prevalence of stroke is in rising trend in Indian subcontinent and therefore is a source of socioeconomic concern. This study was conducted to evaluate the aetiological and clinical profile in stroke patients with special reference to baseline intracranial haemorrhage (ICH) score in haemorrhagic stroke in North East India. METHODS The study was carried out among in-patients of Medicine Department at Assam Medical College and Hospital, Dibrugarh in North East India from March 2019 to February 2020. A total of 112 patients who presented with symptoms suggestive of stroke were assessed. Mean ± standard deviation was used to express continuous variables. Frequency and percentage were used to express categorical variables. Test of significance for qualitative data was assessed by chi-square test (for 2 x 2 tables). P-value less than 0.05 was taken as statistically significant. RESULTS In our study stroke was common in 40 – 60 years age group which comprised 50 % of total patients. Stroke was more common in males with a sex ratio of 1.24:1. 73.2 % of patients suffered haemorrhagic stroke and 22.3 % suffered ischemic stroke whereas 4.5 % suffered cardio-embolic stroke. Hypertension was the most prevalent and an important risk factor with 80.3 % (P = 0.001), followed by smoking with 39 % (P = 0.021), chronic alcohol consumption with 37 % (P = 0.028) and diabetes with 22 %. The most common site of haemorrhage was basal ganglia (28 %) followed by thalamus (24 %). Patients presenting with intraventricular extension, infratentorial location, low Glasgow Coma Scale (GCS) score (< 4) or having high ICH score (≥ 3) at the time of presentation were associated with increased mortality in haemorrhagic stroke (P = 0.010). CONCLUSIONS Haemorrhagic strokes (73.2 %) are the most common type. Hypertension is the most prevalent and an important risk factor (80.3 %). Basal ganglia (28 %) are the most common sites involved in haemorrhagic stroke; infratentorial location is associated with poor prognosis. Patients presenting with low GCS score (< 4) or having high ICH score (≥ 3) at the time of presentation are associated with increased mortality in haemorrhagic stroke. KEY WORDS Stroke, Hypertension, Basal Ganglia, GCS Score, ICH Score

scholarly journals Traumatic Cerrebral Fungus: Experience From an Institution in North East India

2017 ◽  
Vol 08 (S 01) ◽  
pp. S37-S43
Author(s):  
Binoy Kumar Singh ◽  
Abinash Dutta ◽  
Shameem Ahmed ◽  
Zakir Hussain ◽  
Rajib Hazarika ◽  
...  
Keyword(s):  
Head Injury ◽  
Brain Parenchyma ◽  
Csf Leak ◽  
Mortality And Morbidity ◽  
Patients Âgés ◽  
North East India ◽  
North East ◽  
Brain Parenchymal ◽  
Gcs Score ◽  
Parenchymal Injury

ABSTRACTBackground: Traumatic brain fungus is manifestation of neglected head injury. Although rare it is not uncommon. The patients are usually intact with good Glasgow coma (GCS) score inspite of complex injuries and exposed brain parenchyma but morbidity and mortality is very high with time if no proper and timely management is offered. There is very less study on traumatic brain fungus with no defined management protocols. So an attempt was made to explain in details the surgical strategies and other management techniques in patients with traumatic brain fungus. Aims: To study and evaluate the pattern of causation, clinical presentations, modalities of management of traumatic brain fungus and outcome after treatment. Methods: All patients with fungus cerebri, admitted to our centre from January 2012 to December 2015 were studied prospectively. All the patients were examined clinically and triaged urgently for surgery. CT head was done in all patients to look for any brain parenchymal injury. All patients were managed surgically. Outcome was assessed as per the Glassgow Outcome Score. Results: Total 10 patients were included in the study. 8 were men and 2 women. The patients' ages ranged from 3-48 years (mean 31.6 years). The interval between initial injury and protrusion ranged from 3 days to 6 days (mean 4.1 days). Mean GCS at the time of presentation was 13.2.60% of the patients (n =6) sustained moderate head injury. (GCS-9-13). Size of the fungus ranged from 5cm×3cm to 8cm×10cm. Conclusion: Early and proper local wound treatment prevents fungus formation. Pre-emptive antibiotics, AEDs and cerebral decongestants are recommended. Loose water-tight duroplasty prevents CSF leak. But mortality and morbidity can be reduced significantly if brain fungus is managed properly by applying basic surgical principles and antibiotic protocols combined with newer surgical modalities.

scholarly journals NON TRAUMATIC INTRACRANIAL HAEMORRHAGE PRESENTING WITH SEIZURES.

2020 ◽  
pp. 1-1
Author(s):  
Ayush Dubey*
Keyword(s):  
Intracranial Haemorrhage ◽  
Haemorrhagic Stroke ◽  
Stroke Patients ◽  
Altered Sensorium

Stroke has a signicant proportion comprising of intra cranial haemorrhage. Generally such patients present with focal weakness or altered sensorium. Seizures can also be a presenting feature in few of the cases. We present our study done to look for such haemorrhagic stroke patients who present with seizures at onset.

scholarly journals The Relationship of ICH Score and 30-Day Mortality Rate in Hemorrhagic Stroke Patient: Systematic Review and Meta-Analysis

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Samuel Sitohang ◽  
Sabri
Keyword(s):  
Mortality Rate ◽  
Significant Relationship ◽  
Hemorrhagic Stroke ◽  
Meta Analysis ◽  
High Accuracy ◽  
Stroke Patients ◽  
Analysis Study ◽  
Ich Score ◽  
Gcs Score ◽  
The Relationship

Hemorrhagic stroke is a type of stroke that causes more deaths than ischemic stroke. The prognosis of hemorrhagic stroke patients can be determined with ICH Score. ICH score has a value range of 0-6. The variables of ICH Score are GCS score (0-2), bleeding volume (0-1), intraventricular bleeding (0-1), infratentorial origin (0-1), and age (0-1). Aim: This meta-analysis study aims to determine the relationship between ICH Score and 30-day mortality rate in hemorrhagic stroke patients. Methods: This meta-analysis study uses online literature sourced from Pubmed, Science Direct and Google Scholar. Result: Based on data analysis, there is a significant relationship between the ICH Score and the mortality rate in hemorrhagic stroke patients (OR 18.04, 95% CI: 10.65; 30.55). Analysis of the ICH Score accuracy found that the ICH Score had high accuracy to predict the mortality of hemorrhagic stroke patients (AUC 0.827, 95% CI: 0.796; 0.858). Conclusion: ICH Score has a significant relationship with the 30-day mortality rate in hemorrhagic stroke patients and has high accuracy for predicting mortality in hemorrhagic stroke patients.

scholarly journals Predictors of In-Hospital Mortality in Stroke Patients

2022 ◽  
Author(s):  
Vindya Shalini Ranasinghe ◽  
Manoji Pathirage ◽  
Indika Bandara Gawarammana
Keyword(s):  
Blood Pressure ◽  
Hospital Mortality ◽  
Demographic Data ◽  
Clinical Signs ◽  
Multivariate Logistic Regression Analysis ◽  
Haemorrhagic Stroke ◽  
Receiver Operating Curve ◽  
Stroke Patients ◽  
Tertiary Referral Center ◽  
Gcs Score

Abstract Background: In-hospital mortality is a good indicator to assess the efficacy of stroke care. Identifying the predictors of in-hospital mortality is important to advance the stroke outcome and plan the future strategies of stroke management. Methods: This was a prospective observational study conducted at a tertiary referral center in Sri Lanka to identify the possible predictors of in-hospital mortality. The study included 246 confirmed stroke patients. The diagnosis of stroke was established on the clinical history, examination and neuroimaging. The differentiation of stroke in to haemorrhagic type and ischaemic type was based on the results of computed tomography. In all patients, demographic data, comorbidities, clinical signs (pulse rate, respiratory rate, systolic blood pressure, diastolic blood pressure, on admission Glasgow Coma Scale (GCS) score) and imaging findings were recorded. Serum electrolyte test was performed in all stroke patients and hyponatremia was defined as serum Na+ less than 131mmol/l. All patients were followed up throughout their hospital course and the in-hospital mortality was recorded. In hospital mortality was defined as the deaths which occurred due to stroke after 24 hours of hospital admission. Results: The incidence of in-hospital mortality was 11.7% (95% confidence interval 8-16.4). The mean day of in-hospital deaths to occur was 5.9 days (SD±3.8 Min 2 Max 20). According to multivariate logistic regression analysis on admission GCS score (Odds Ratio (OR)-0.71) and haemorrhagic stroke type (OR-5.12) predict the in-hospital mortality. The area under the curve of receiver operating curve drawn for the on admission GCS score was 0.78 with a sensitivity of 96.31% and specificity of 41.38% for a patient presented with the GCS score of <10. Conclusion: On admission GCS and haemorrhagic stroke are independent predictors of in-hospital mortality. Patients with on admission GCS <10 have a moderate predictive ability in predicting the in-hospital mortality. Thus, a special attention should be given to the patients with low GCS score and haemorrhagic strokes for reducing rates of in-hospital mortality.

scholarly journals Prevalence of Seasonal Variation of Haemorrhagic stroke more in winter than summer and its common risk factors

2016 ◽  
Vol 5 (1) ◽  
pp. 9-13
Author(s):  
Sultan Ahmed ◽  
Md Aminul Islam ◽  
Mohammad Abdul Bari ◽  
Mahmud Javed Hasan ◽  
Md Ashraful Siddique Pathan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Ischemic Stroke ◽  
Haemorrhagic Stroke ◽  
Stroke Patients ◽  
Community Based ◽  
College Hospital ◽  
Medical College ◽  
Common Risk Factors ◽  
Medicine Community

The present descriptive cross-sectional study was conducted in the department of medicine, Community Based Medical College Hospital Bangladesh over a period of one year during March 2013 to February 2014. The study was conducted to describe Haemorrhagic stroke during summer and winter. An attempt was also made to observe in the frequency of common risk factors of stroke by seasons. A total 146 patients of any age irrespective of sex fulfilling the WHO criteria of acute stroke and confirmed by CT Scan were selected from consecutive admission in the Department of Medicine, Community Based Medical College Hospital Bangladesh. Detail history and through clinical examinations were done. Routine and relevant investigations were carried out. The mean age of the patients was 60.9±14.3 years. A male preponderance was observed in the study. In summer 65.8% of patients and in winter 34.2% patients were presented. Ischemic stroke was present in 52.1% patients and 47.9% patients had haemorrhagic stoke. The study found that the frequency of ischemic stroke during summer (65.8%) was significantly greater than that during winter (34.2%). The frequency of haemorrhagic stroke during winter (65.8%) significant greater than that during summer (39.6%). Hypertension was the most important risk factor and other risk factors were smoking. Diabetes mellitus, tobacco chewing, ischamic heart disease, dyslipidaemia, oral contraceptive pill, alcohol consumption atrial fibrillation and past history of stroke. Increasing age was also noted as a risk factor (60.7%>60 years). Most of the risk factors were homogenously distributed between two seasons and between ischemic and haemorrhagic group. Hypertension was significantly higher in haemorrhagic stroke patients compared to ischemic stroke patients. CBMJ 2016 January: Vol. 05 No. 01 P: 09-13

Past Verses Present; Metamorphosis in Different Spheres of Guwahati: A Study of Srutimala Duara’s Mindprints of Guwahati

2020 ◽  
Vol 8 (2) ◽  
pp. 13
Author(s):  
Ankita Pandey
Keyword(s):  
Point Of View ◽  
Areca Nut ◽  
Medieval Period ◽  
River Bank ◽  
North East India ◽  
North East ◽  
The North ◽  
Indian State ◽  
The City ◽  
Beautiful City

Guwahati derives its name from the Assamese word “Guwa” means areca nut and “Haat” means market. However, the modern Guwahati had been known as the ancient Pragjyotishpura and was the capital of Assam under the Kamrupa kingdom. A beautiful city Guwahati is situated on the south bank of the river Bramhaputra. Moreover, It is known as the largest city in the Indian state of Assam and also the largest metropolis in North East India. It has also its importance as the gateway to the North- East India. Assamese and English are the spoken languages in Guwahati.  In 1667, the Mogul forces were defeated in the battle by the Ahom forces commanded by Lachut Barphukan. Thus, in a sense Guwahati became the bone of contention among the Ahoms, Kochas and the Moguls during the medieval period.  Guwahati the administrative headquarters of Lower Assam with a viceroy or Barbhukan was made by the Ahom king.  Since 1972 it has been the capital of Assam. The present paper will discuss the changes happened in Guwahati over the period of late 1970s till the present time. It will focus on the behavior of people, transformed temples, Panbazar of the city, river bank of Bramhaputra, old Fancy Bazaar, chaotic ways, festivals and seasons including a fifth man made season etc. It will also deal how over the years a city endowed with nature’s gifts and scenic views, has been changing as “a dirty city”. Furthermore, it will also present the insurgencies that have barged into the city. The occurrence of changes will be discussed through the perspective and point of view of Srutimala Duara as presented in her book Mindprints of Guwahati.

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