The Relationship between Risk Factors and Microalbumiuria for Ischaemic Stroke : A Case Control Study

Authors

  • Md Shaheen Wadud Department of Neurology Sir Salimullah Medical College & Mitford Hospital Dhaka
  • Aminur Rahman Department of Neurology Sir Salimullah Medical College & Mitford Hospital Dhaka
  • Mohammad Selim Shahi Department of Hematology Sir Salimullah Medical College & Mitford Hospital Dhaka
  • Uttam Kumar Saha Department of Neurology National Institute of Neurosciences & Hospital Dhaka
  • AK Takib Uddin Ahmed Department of Neurology Sir Salimullah Medical College & Mitford Hospital Dhaka
  • Zahed Ali Department of Neurology Sir Salimullah Medical College & Mitford Hospital Dhaka
  • Narayan Chandra Kundu Department of Neurology Shaheed Suhrawardy Medical College Dhaka
  • Firoz Amed Quraishi Department of Neurology National Institute of Neurosciences & Hospital Dhaka
  • Sakhawat Hossain Department of Neurology Sir Salimullah Medical College & Mitford Hospital Dhaka

DOI:

https://doi.org/10.3329/cmoshmcj.v12i3.16712

Keywords:

Microalbuminuria, Risk factors, Ischemic stroke.

Abstract

Background: Epidemiologic studies have reported that microalbuminuria is a risk factor for stroke in men and a limited case control study found that the highest quintile of microalbuminuria values was associated with 13 fold increased risk for stroke. The goal of this study is designed to determine its relationship to risk factors for ischemic stroke. Materials and

Methods: It was a prospective observational study conducted in the Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka, Bangladesh. Fifty consecutive patients with ischemic stroke with at least two risk factors who fulfilled the inclusion criteria of case were confirmed by CT or MRI. Equal number of controls same ages without stroke who had at least two risk factors were compared with the case group. The patients were assessed clinically with structured questionnaire including blood pressure, height and weight, and monitoring blood glucose and microalbuminuria.

Results: Microalbuminuria was found 58.0% in patients with ischemic stroke. Patients who had diabetes mellitus will have 13.86 times the risk for developing microalbuminuria (p<0.05). Patients who had HTN will have 4.19 times the risk for developing microalbuminuria (p<0.05) and BMI (?23 kg/m2) will have 4.24 times the risk for developing microalbuminuria with (p<0.05). Whereas TIA, IHD, dyslipidemia, smoking and positive family history were not significantly (P>0.05) associated with microalbuminuria in patients with ischemic stroke.

Conclusion: The findings of this study show that diabetes is the factor most closely associated with microalbuminuria followed by HTN and BMI?23 kg/m2 with statistically significance in patients with ischemic stroke.

Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 37-43

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Published

2013-10-28

How to Cite

Wadud, M. S., Rahman, A., Shahi, M. S., Saha, U. K., Ahmed, A. T. U., Ali, Z., Kundu, N. C., Quraishi, F. A., & Hossain, S. (2013). The Relationship between Risk Factors and Microalbumiuria for Ischaemic Stroke : A Case Control Study. Chattagram Maa-O-Shishu Hospital Medical College Journal, 12(3), 37–43. https://doi.org/10.3329/cmoshmcj.v12i3.16712

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