scholarly journals The Association Among Medication Beliefs, Perception of Illness and Medication Adherence in Ischemic Stroke Patients: A Cross-Sectional Study in China

2020 ◽  
Vol Volume 14 ◽  
pp. 235-247 ◽  
Author(s):  
Suebsarn Ruksakulpiwat ◽  
Zhaojun Liu ◽  
Shihong Yue ◽  
Yuying Fan
Keyword(s):  
Ischemic Stroke ◽  
Medication Adherence ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Medication Beliefs

scholarly journals Mutually Risk Roles of Oral Cleanliness and Stroke-associated Pneumonia in Patients with Acute Ischemic Stroke: A Cross-Sectional Study

2020 ◽  
Author(s):  
Xiaohua Yang ◽  
Huijuan Chen ◽  
Wanling Yang ◽  
Bin Deng ◽  
Jialing Zheng ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Ischemic Stroke ◽  
Dental Caries ◽  
Acute Ischemic Stroke ◽  
Oral Hygiene ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional

Abstract Background: Stroke-associated pneumonia (SAP) is a major complication after stroke, oral microorganisms are important contributors to SAP. Here, we aimed to investigate whether the oral hygiene was associated with SAP and related risk factors of them in patients with acute ischemic stroke. Methods: We performed a cross-sectional study that recruited 331 patients with acute ischemic stroke from two medical centers. A series of assessments were performed to evaluate the neurological status and habits of oral hygiene. According to whether the oral hygiene was abnormal and SAP occurred, univariate analyses were performed in cohort 1 (normal / abnormal oral hygiene groups) and cohort 2 (SAP / non-SAP groups). Multiple logistic regression analyses were conducted to confirm risk factors of oral cleanliness and SAP in stroke patients. Results: A total of 12 and 8 independent variables were included in the model 1 and 2 analysis. After adjusting for confounders, multivariable logistic regression analysis showed that oral cleanliness was not only closely related to SAP (OR=2.219, P=0.026), dental caries (OR=1.292, P=0.005) and age (OR=1.030, P=0.006) in model 1, but also an independent risk factor for predicting SAP (OR=1.678, P=0.001) in model 2. Barthel index was a protective factor for oral cleanliness (OR=0.986, P=0.019) and SAP (OR=0.977, P=0.002) in ischemic stroke patients. Conclusions: Mutually primary risk roles of abnormal oral cleanliness and SAP exist in patients with acute ischemic stroke. Dental caries and aging are important risk factors for oral health disorders. Improving the activities of daily living would have protective effects on both oral hygiene and SAP prevention in stroke patients.

scholarly journals A comparative cross-sectional study of the prevalence of sleep disorders in ischemic stroke patients

2016 ◽  
Vol 59 ◽  
pp. e77 ◽  
Author(s):  
Sana Salah ◽  
Mariem Rekik ◽  
Soumaya Boudokhane ◽  
Houda Migaou ◽  
Anis Jellad ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Sleep Disorders ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional

scholarly journals Functional Disability After Ischemic Stroke: A Community-Based Cross-Sectional Study in Shanghai, China

2021 ◽  
Vol 12 ◽  
Author(s):  
Ying-Ye Yao ◽  
Zi-Jun Wei ◽  
Yue-Chan Zhang ◽  
Xiang Li ◽  
Liu Gong ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Cognitive Impairment ◽  
Functional Disability ◽  
Mmse Score ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Previous Stroke ◽  
Depression Status

Objective: This study aimed to understand the demographics, functional disabilities, cognitive impairment, and depressive mood among stroke patients and to explore the correlation between functional disability and the other health conditions so as to provide some data for community rehabilitation among stroke patients.Methods: A cross-sectional study was conducted to investigate the functional status of ischemic stroke patients with stroke history between 1 month and 2 years by applying the modified Rankin Scale (mRS). Data were collected during October 2016 and January 2017 from 11 communities in two districts of Shanghai, China. We used face-to-face questionnaire interviews to collect information on sociodemographics, vascular risks associated with stroke, cognitive function [Mini-Mental State Examination (MMSE)], and depression [Patient Health Questionnaire-9 (PHQ-9)]; and we applied SPSS 24.0 for data analysis.Results: In this study, 305 patients with ischemic stroke were finally recruited, including 189 (61.97%) men, with an average age of 67 years. According to the mRS score, ischemic stroke patients were divided into patients without symptoms (controls, mRS = 0), patients without obvious disability (mRS = 1), and patients with mild to severe disability (mRS = 2–5). Ischemic stroke patients with different mRS levels demonstrated significant differences in age, tobacco smoke exposure, previous stroke history, cognitive function, and depression status. Compared with patients without symptoms (mRS = 0), patients with mRS = 1 had a lower MMSE score [odds ratio (OR): 0.48, 95% confidence interval (CI): 0.26–0.90]; and patients with mRS = 2–5 had a lower MMSE score [OR = 0.16, 95% CI: 0.08–0.33], had a higher PHQ-9 score [OR = 5.36, 95% CI: 2.19–13.11], and were more likely to have previous stroke history [OR = 2.18, 95% CI: 1.01–4.79].Conclusion: Lower degrees of functional independence are related to cognitive impairment, as well as the previous stroke history and depression status.

scholarly journals Presenting Features of lschaemic Stroke Patients with Type 2 Diabetes during Hospital Admission at BIRDEM

2012 ◽  
Vol 2 (2) ◽  
pp. 14-18
Author(s):  
Nirmalendu Bikash Bhowmik ◽  
Sufia Jannat ◽  
Md Rashedul Islam ◽  
Rumana Habib ◽  
Aminur Rahman ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Ischemic Stroke ◽  
Cross Sectional Study ◽  
The Body ◽  
Clinical Profile ◽  
Imaging Data ◽  
Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional

Background & objective: Stroke is the third major cause of morbidity and mortality in the world immediately following ischemic heart disease and malignancy. Diabetes mellitus increases risk of ischemic stroke and mortality and morbidity after stroke. This cross sectional study was carried out to observe clinical profile of ischemic stroke in Type 2 diabetic patient. Materials & Methods: This cross-sectional study was done in the Department of Neurology, Bangladesh Institute of Research and Rehabilitation for Diabetes, Endocrine, and Metabolic Disorders (BIRDEM) Hospital, from April to September 2010. A total of 50 ischemic stroke patients with type-2 diabetes were consecutively recruited. Ischemic stroke was confirmed by clinical examination and CT imaging. Data were analysed using SPSS (Statistical Package for Social Sciences) and were presented as mean ± SD and frequencies with corresponding percentages as appropriate. Results: Of the 50 ischemic patients, over one-third (36%) was in their 6th decades of life.  A male preponderance (1.5:1) in the series. Most of the patients presented with weakness on either side of the body (90%) followed by difficulties in speech (80%), altered consciousness (24%) and facial weakness (4%). On examination 76% were conscious and oriented.  Other examination findings were hemiparesis (60%), hemiplegia (30%), dysarthria (72%) and dysphagia (4%).  The major co-morbid condition was hypertension (86%) with mean systolic and diastolic blood pressures being 153 ± 5 and 97 ± 4 mmHg respectively.  On admission 94% had normal pulse  and  40%  abnormal  fundoscopic  examination  in  the  form  of  hypertensive and diabetic retinopathy. Only 2% had carotid bruit. Conclusion: Elderly males are more prone to develop ischemic stroke. Hemiparesis and dysarthria are the major clinical presentation and hypertension might be an important risk factor for ischemic stroke. Further study is recommended to conclusively comment on the clinical features of diabetic ischemic stroke patients and also to compare the clinical profile between diabetic stroke patients. Ibrahim Cardiac Med J 2012; 2(2): 14-18

scholarly journals Correlating CT findings of stroke with hyperglycemia in acute ischemic stroke patients

2019 ◽  
Vol 13 (2) ◽  
pp. 78-82
Author(s):  
Ameer Shaker
Keyword(s):  
Ischemic Stroke ◽  
White Matter ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Newly Diagnosed ◽  
Sectional Study ◽  
Stroke Patients ◽  
Stress Hyperglycemia ◽  
Cross Sectional ◽  
Type Site

Background: Studies show that diabetic patients have a higher incidence of ischemic stroke than non-diabetic patients. In the Framingham study the incidence of thrombotic stroke was 25 times higher in diabetic men and 36 times higher in diabetic women than in those without diabetes Objectives: aim of this study to analyze topography in diabetic patients. Type of study:  Cross sectional study. Methods: 48 patients with acute stroke were classified into 4 groups: euglycemic, stress hyperglycemia, newly diagnosed diabetics, and known diabetics. Results:no significant differences were found in the type, site or size of stoke between the 4 groups, higher levels of blood sugars and hemoglobin HbA1cwere significantly higher with chronic white matter ischemia in stroke patients. Conclusions: hyperglycemia, diabetics and chronic glycemic disturbance may play role in the pathophysiology of white matter ischemia.

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.

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