Characterization of Hospitalized Ischemic Stroke Patients in Palestine
Objective: Stroke is a major health problem, yet no studies on stroke have been reported fromPalestine. This one-year, hospital-based study was conducted to determine the prevalence of riskfactors and the in-hospital mortality rate in patients with ischemic stroke. Method: All patientsadmitted to Al...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2009-01-01
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| Series: | Libyan Journal of Medicine |
| Subjects: | |
| Online Access: | http://ljm.org.ly/articles/AOP09/AOP080920.pdf |
| _version_ | 1818533983906955264 |
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| author | Sawalha AF |
| author_facet | Sawalha AF |
| author_sort | Sawalha AF |
| collection | DOAJ |
| description | Objective: Stroke is a major health problem, yet no studies on stroke have been reported fromPalestine. This one-year, hospital-based study was conducted to determine the prevalence of riskfactors and the in-hospital mortality rate in patients with ischemic stroke. Method: All patientsadmitted to Al-Watani government hospital and diagnosed with ischemic stroke between September2006 and August 2007 were included in the study. Data were obtained by retrospective review ofmedical charts. Pearson Chi-square and independent t test were used in the univariate analysis.Multiple logistic regression analysis was used to determine the independent predictors of in-hospitalmortality rates among the patients. Statistical testing and graphics were carried out using SPSS 15.Results: We identified 153 ischemic stroke patients (83 females and 70 males) of whom 92 werehaving a first-ever stroke (FES). Patients had several prevalent modifiable risk factors such ashypertension (HTN) (66%), diabetes mellitus (DM) (45.8%), and renal reduced renal function (crcl <60 ml/ min) (33.9%). Twenty-six (17%) of the patients died during hospitalization. Four variables weresignificantly associated with in-hospital mortality: history of previous stroke (P= 0.004), crcl atadmission (P=0.004), number of post-stroke complications (P=0.001), and age (P=0.043). Multiplelogistic regression analysis indicated that the number of post-stroke complications (P= 0.001) andprevious stroke (P=0.03) were significant independent predictors of in-hospital mortality. Conclusion:Screening and better control of risk factors, especially HTN, DM and renal dysfunction, are required todecrease the incidence and in-hospital mortality among patients with ischemic stroke. |
| first_indexed | 2024-12-11T18:05:51Z |
| format | Article |
| id | doaj.art-866f788adaed4501a5e47b0067b880d1 |
| institution | Directory Open Access Journal |
| issn | 1819-6357 |
| language | English |
| last_indexed | 2024-12-11T18:05:51Z |
| publishDate | 2009-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Libyan Journal of Medicine |
| spelling | doaj.art-866f788adaed4501a5e47b0067b880d12022-12-22T00:55:45ZengTaylor & Francis GroupLibyan Journal of Medicine1819-63572009-01-0141AOP080920Characterization of Hospitalized Ischemic Stroke Patients in PalestineSawalha AFObjective: Stroke is a major health problem, yet no studies on stroke have been reported fromPalestine. This one-year, hospital-based study was conducted to determine the prevalence of riskfactors and the in-hospital mortality rate in patients with ischemic stroke. Method: All patientsadmitted to Al-Watani government hospital and diagnosed with ischemic stroke between September2006 and August 2007 were included in the study. Data were obtained by retrospective review ofmedical charts. Pearson Chi-square and independent t test were used in the univariate analysis.Multiple logistic regression analysis was used to determine the independent predictors of in-hospitalmortality rates among the patients. Statistical testing and graphics were carried out using SPSS 15.Results: We identified 153 ischemic stroke patients (83 females and 70 males) of whom 92 werehaving a first-ever stroke (FES). Patients had several prevalent modifiable risk factors such ashypertension (HTN) (66%), diabetes mellitus (DM) (45.8%), and renal reduced renal function (crcl <60 ml/ min) (33.9%). Twenty-six (17%) of the patients died during hospitalization. Four variables weresignificantly associated with in-hospital mortality: history of previous stroke (P= 0.004), crcl atadmission (P=0.004), number of post-stroke complications (P=0.001), and age (P=0.043). Multiplelogistic regression analysis indicated that the number of post-stroke complications (P= 0.001) andprevious stroke (P=0.03) were significant independent predictors of in-hospital mortality. Conclusion:Screening and better control of risk factors, especially HTN, DM and renal dysfunction, are required todecrease the incidence and in-hospital mortality among patients with ischemic stroke.http://ljm.org.ly/articles/AOP09/AOP080920.pdfischemic strokerisk factorsin-hospital mortalityPalestine |
| spellingShingle | Sawalha AF Characterization of Hospitalized Ischemic Stroke Patients in Palestine Libyan Journal of Medicine ischemic stroke risk factors in-hospital mortality Palestine |
| title | Characterization of Hospitalized Ischemic Stroke Patients in Palestine |
| title_full | Characterization of Hospitalized Ischemic Stroke Patients in Palestine |
| title_fullStr | Characterization of Hospitalized Ischemic Stroke Patients in Palestine |
| title_full_unstemmed | Characterization of Hospitalized Ischemic Stroke Patients in Palestine |
| title_short | Characterization of Hospitalized Ischemic Stroke Patients in Palestine |
| title_sort | characterization of hospitalized ischemic stroke patients in palestine |
| topic | ischemic stroke risk factors in-hospital mortality Palestine |
| url | http://ljm.org.ly/articles/AOP09/AOP080920.pdf |
| work_keys_str_mv | AT sawalhaaf characterizationofhospitalizedischemicstrokepatientsinpalestine |