Surveillance of stroke: WHO STEP-wise approach: A Chennai stroke unit report

Stroke is potentially the most devastating consequence of vascular disease, causing long-term disability and placing high medical, emotional, and financial burdens on the patient. WHO STEPS stroke surveillance study, provided the framework for our study of stroke patients in Chennai. In our center,...

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Main Authors: Arjundas Deepak, Pandiyan Uma, Arjundas G, Henry Baux
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2007-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2007;volume=10;issue=3;spage=154;epage=159;aulast=Arjundas
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author Arjundas Deepak
Pandiyan Uma
Arjundas G
Henry Baux
author_facet Arjundas Deepak
Pandiyan Uma
Arjundas G
Henry Baux
author_sort Arjundas Deepak
collection DOAJ
description Stroke is potentially the most devastating consequence of vascular disease, causing long-term disability and placing high medical, emotional, and financial burdens on the patient. WHO STEPS stroke surveillance study, provided the framework for our study of stroke patients in Chennai. In our center, we followed only the STEP 1 study and only hospital-based stroke data were collected. STEP 2 and 3 involved study of strokes in the community. We found that 78% of our patients were in the 6th to 8th decades of life; 72% had hypertension, either alone or in combination with other risk factors; 4 weeks after the stroke, 51% of our patients were independent with regard to mobility and the activities of daily living, while 14% had severe disability. We found a mortality rate of 14%. We concluded that the incidence of stroke in the community can be decreased further by effective risk factor modification. The admission delay needs to be shortened from> 48 h to less than 6 h. Our data also gave us fresh information about the recovery of motor function in stroke survivors at 28 days after the stroke.
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spelling doaj.art-905f330c71c04db081e4c2e6a8389f742022-12-21T17:57:47ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23272007-01-01103154159Surveillance of stroke: WHO STEP-wise approach: A Chennai stroke unit reportArjundas DeepakPandiyan UmaArjundas GHenry BauxStroke is potentially the most devastating consequence of vascular disease, causing long-term disability and placing high medical, emotional, and financial burdens on the patient. WHO STEPS stroke surveillance study, provided the framework for our study of stroke patients in Chennai. In our center, we followed only the STEP 1 study and only hospital-based stroke data were collected. STEP 2 and 3 involved study of strokes in the community. We found that 78% of our patients were in the 6th to 8th decades of life; 72% had hypertension, either alone or in combination with other risk factors; 4 weeks after the stroke, 51% of our patients were independent with regard to mobility and the activities of daily living, while 14% had severe disability. We found a mortality rate of 14%. We concluded that the incidence of stroke in the community can be decreased further by effective risk factor modification. The admission delay needs to be shortened from> 48 h to less than 6 h. Our data also gave us fresh information about the recovery of motor function in stroke survivors at 28 days after the stroke.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2007;volume=10;issue=3;spage=154;epage=159;aulast=ArjundasDisabilitymodified Rankin scaleNIH scalerisk factorstroke surveillanceTOAST
spellingShingle Arjundas Deepak
Pandiyan Uma
Arjundas G
Henry Baux
Surveillance of stroke: WHO STEP-wise approach: A Chennai stroke unit report
Annals of Indian Academy of Neurology
Disability
modified Rankin scale
NIH scale
risk factor
stroke surveillance
TOAST
title Surveillance of stroke: WHO STEP-wise approach: A Chennai stroke unit report
title_full Surveillance of stroke: WHO STEP-wise approach: A Chennai stroke unit report
title_fullStr Surveillance of stroke: WHO STEP-wise approach: A Chennai stroke unit report
title_full_unstemmed Surveillance of stroke: WHO STEP-wise approach: A Chennai stroke unit report
title_short Surveillance of stroke: WHO STEP-wise approach: A Chennai stroke unit report
title_sort surveillance of stroke who step wise approach a chennai stroke unit report
topic Disability
modified Rankin scale
NIH scale
risk factor
stroke surveillance
TOAST
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2007;volume=10;issue=3;spage=154;epage=159;aulast=Arjundas
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