Risk factors of hemorrhagic and ischemic stroke among hospitalized patients in Bangladesh - A case control study

Authors

  • Baizid Khoorshid Riaz NIPSOM, Dhaka
  • Shahabul Huda Chowdhury Department of Medicine, Sarkari Kormachari Hospital, Dhaka
  • Nazmul Karim WHO, Dhaka
  • Salahuddin Feroz Department of Medicine, Shaheed Suhrawardy Medical College Hospital, Dhaka
  • Shahjada Selim Department of Endocrinology, BIRDEM, Dhaka
  • Ridwanur Rahman NIPSOM, Dhaka

DOI:

https://doi.org/10.3329/bmrcb.v41i1.30231

Abstract

The risk factor profiles, management and outcome have significant difference between stroke subsets. Aim of this study was to investigate the risk for the two most common subtypes of stroke in Bangladeshi population. Seventy cases of hemorrhagic stroke (HS) and 105 cases of confirmed ischemic stroke (IS) were recruited from the Shaheed Suhrawardy Medical College Hospital (ShSMCH) and Dhaka Medical College Hospital between January-June 2011. Total 171 age, sex matched controls were selected from the hospitalized patients with history of no stroke ever. Average hemorrhagic stroke patients (60.4±12.3 years) were younger than both ischemic strokes (63.5±13 years). Family history of premature cardiovascular death was found more in HS patients (p=0.001). Multivariate logistic regression showed, in IS model less fruit consumption (OR 4.6), table salt intake (OR 8.15), psychosocial stress (OR 3.5), abnormal ECG (OR 3.6) and Increased WHR (OR 6.9) appeared as significant predictors adjusted for all potential candidate confounders. In HS model less fruit consumption (OR 5.0), table salt intake (OR 9.9), Stress (OR 4.1), family history of cardiovascular disease (CVD) death (OR 11.3), hypertension (OR 43), aspirin intake (OR 4.5) and increased WHR (OR 3.7) remained as significant predictors. 

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Published

2016-11-03

How to Cite

Riaz, B. K., Chowdhury, S. H., Karim, N., Feroz, S., Selim, S., & Rahman, R. (2016). Risk factors of hemorrhagic and ischemic stroke among hospitalized patients in Bangladesh - A case control study. Bangladesh Medical Research Council Bulletin, 41(1), 29–34. https://doi.org/10.3329/bmrcb.v41i1.30231

Issue

Section

Research Papers