Ischemic Strokes: Observations from a Hospital Based Stroke Registry in Bangladesh.
Background. Stroke is an important morbidity for low and middle income countries like Bangladesh. We established the first stroke registry in Bangladesh. Methods. Data was collected from stroke patients who were admitted in Department of Neurology of BIRDEM with first ever stroke, aged between 30 and 90 years. Patients with intracerebral hemorrhage, subarachnoid and subdural hemorrhage, and posttrauma features were excluded. Results. Data was gathered from 679 stroke patients. Mean age was 60.6 years. Almost 68% of patients were male. Small vessel strokes were the most common accounting for 45.4% of all the patients followed by large vessel getting affected in 32.5% of the cases. Only 16 (2.4%) died during treatment, and 436 (64.2%) patients had their mRS score of 3 to 5. Age greater than 70 years was associated with poor outcome on discharge [OR 1.79 (95% CI: 1.05 to 3.06)] adjusting for gender, duration of hospital stay, HDL, and pneumonia. Age, mRS, systolic blood pressure, urinary tract infection, pneumonia, and stroke severity explained the Barthel score. Conclusion. Mortality was low but most of patient had moderate to severe disability at discharge. Age, mRS, systolic blood pressure, urinary tract infection, pneumonia, and stroke severity influenced the Barthel score.
Department of Neurology, BIRDEM General Hospital, 122 Kazi Nazrul Islam Avenue, Shahbag, Dhaka 1000, Bangladesh.
Nirmalendu Bikash
0000-0002-1536-4232
NB
Bhowmik
Department of Medicine, The Aga Khan University & Hospital, Stadium Road, Karachi 74800, Pakistan.
Aamir
0000-0002-2634-2063
A
Abbas
Department of Neurology, BIRDEM General Hospital, 122 Kazi Nazrul Islam Avenue, Shahbag, Dhaka 1000, Bangladesh.
Mohammad
M
Saifuddin
Department of Neurology, BIRDEM General Hospital, 122 Kazi Nazrul Islam Avenue, Shahbag, Dhaka 1000, Bangladesh.
Md Rashedul
MR
Islam
Department of Neurology, BIRDEM General Hospital, 122 Kazi Nazrul Islam Avenue, Shahbag, Dhaka 1000, Bangladesh.
Rumana
R
Habib
Department of Neurology, BIRDEM General Hospital, 122 Kazi Nazrul Islam Avenue, Shahbag, Dhaka 1000, Bangladesh.
Aminur
A
Rahman
Department of Neurology, BIRDEM General Hospital, 122 Kazi Nazrul Islam Avenue, Shahbag, Dhaka 1000, Bangladesh.
Md Amirul
MA
Haque
Department of Physiology and Molecular Biology, Bangladesh University of Health Sciences (BUHS), 125/1 Mirpur-1, Dhaka, Bangladesh.
Zahid
Z
Hassan
Department of Medicine, The Aga Khan University & Hospital, Stadium Road, Karachi 74800, Pakistan.
Mohammad
M
Wasay
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