Association of Dementia in Ischemic Stroke: A Case Control Study

Authors

  • Abu Jafor Md Salahuddin Junior Consultant, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Md Rezaul Karim Khan Professor,Department of Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Md Muniruzzaman Bhuiyan Professor,Department of Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Nuruddin Md Eusuf Thana Health & Family Planning Officer, Moralganj Health Complex, Bagerhat, Bangladesh
  • Rased Imam Zahid Medical officer, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Khairul Kabir Patwary Assistant professor, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Muhammad Salahuddin Registrar, Department of Medicine, Chittagong Medical College Hospital, Bangladesh
  • Md Sayeed Hassan Junior Consultant, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Md Abdul Alim Medical officer, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Sukumar Majumder Registrar, Department of Neurology, Rangpur Medical College Hospital, Rangpur, Bangladesh
  • Md Masud Rana MO, Department of Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bjn.v30i1.57363

Keywords:

Dementia, Ischemic Stroke

Abstract

Objectives: To evaluate the association of dementia in ischemic stroke.

Methodology: This case control study was carried out in the department of Neurology at BSMMU, Dhaka from 1st January 2010 to 31st December 2011 for duration of two years to evaluate the association of dementia in ischemic stroke. The target population for this study include all patients presented with ischemic stroke at the range of 3 to 6 months after stroke with the age group of 40 to 70 years are included in this study and patients of dementia other than ischemic stroke like Alzhiemer’s disease, vit-B12 deficiency, thyroid dysfunction were excluded from this study. A total number of 120 respondents were included in this study. Age & sex matched 60 patients of ischemic stroke were selected as cases and rest 60 people were taken as control group. Informed written consent was taken from each patient or his/ her attendant. All information regarding history and physical findings; and other risk factors for dementia were collected to fill up the preformed questionnaire. Relevant physical examinations like nervous system examination, selected general and systemic examination were recorded.

Result & Observation: Dementia was present in case and control group 18(30.0%) and 2(3.3%) respectively. The difference was statistically significant (p=0.001). Present smoking habit was more in case (45.0%) than in control group (16.7%) which was statistically significant (p=0.001) with a OR of 4.07 with a 95% CI of 1.89-8.75. Past smoking habit was more in case (16.7%) than control group (11.7%). Non-smoker was more in control (71.7%) than case group (38.3%). Diabetes mellitus was more common in case group (38.3%) than control group 5(8.3%) which was statistically significant (p=0.001) with a 6.84 OR and 95% CI of 2.39-19.6.

Conclusion: The study permit to conclude that dementia is directly associated with ischemic stroke. We found a correlation between age, family history of dementia, hypertension, diabetes mellitus and dyslipidemia with dementia.

Bangladesh Journal of Neuroscience 2014; Vol. 30 (1): 35-44

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Published

2014-01-31

How to Cite

Md Salahuddin, A. J. ., Khan, M. R. K. ., Bhuiyan, M. M. ., Md Eusuf, N. ., Zahid, R. I. ., Patwary, K. K. ., Salahuddin, M. ., Hassan, M. S. ., Alim, M. A. ., Majumder, S. ., & Rana, M. M. . (2014). Association of Dementia in Ischemic Stroke: A Case Control Study. Bangladesh Journal of Neuroscience, 30(1), 35–44. https://doi.org/10.3329/bjn.v30i1.57363

Issue

Vol. 30 No. 1 (2014)

Section

Original Articles