Study of clinical profile and pattern of stroke in diabetic and non-diabetic patients in a hospital of Kumaon region

Authors

  • Deepali Joshi Junior Resident, Department of Medicine, Government Medical College, Haldwani, Uttarakhand, India https://orcid.org/0000-0003-2955-6048
  • Mohd Maroof Assistant Professor, Department of Community Medicine, Rani Durgavati Medical College, Banda, Uttar Pradesh, India https://orcid.org/0000-0002-4190-0078
  • Subhash Chandra Joshi Associate Professor, Department of Medicine, Government Medical College, Haldwani, Uttarakhand, India
  • Vivekanand Satyawali Associate Professor, Department of Medicine, Government Medical College, Haldwani, Uttarakhand, India https://orcid.org/0000-0002-3847-2260

Keywords:

Cholesterol; Diabetes mellitus; Dyslipidemia; Hemorrhagic stroke; Ischemic stroke

Abstract

Background: Diabetes enhances the risk of stroke which is one of the leading causes of morbidity and mortality.

Aims and Objectives: The study was done to analyze the clinical profile and pattern of stroke in diabetic and non-diabetic patients.

Materials and Methods: This was a hospital-based cross-sectional study done in 130 stroke patients (with/without diabetes – 65 each) presenting to outpatient department\inpatient department general medicine department, Dr. Sushila Tiwari Hospital of Government Medical College, Haldwani during January 2020–September 2021. A detailed history, neurological examination along with assessment of risk factors, pattern, and subtype were done.

Results: The mean age was significantly higher among stroke patients with diabetes (66.38±11.99 years). The proportion of systemic hypertension was significantly higher in stroke patients without diabetes (89.2%). Abnormal ECG was significantly more reported in stroke patients without diabetes (73.8%). The mean hemoglobin and mean random blood sugar were significantly higher in stroke patients with diabetes (8.82±1.72 and 291.17±107.39, respectively). The mean high-density lipoprotein was significantly higher in stroke patients without diabetes (43.06±5.1), whereas mean low-density lipoprotein, mean triglycerides, and mean total cholesterol were significantly higher in stroke patients with diabetes (126.28±33.19; 186.97±45.91; and 229.31±39.83, respectively). The presenting complaints observed were altered consciousness (67.7%) right hemiparesis (55.4%), left hemiparesis (41.5%), abnormal body movement (28.5%), etc. Ischemic stroke was significantly higher in patients with diabetes (90.8%). Lacunar (34%), basal ganglia (27%), cortical (23%), etc., were stroke subtypes seen among study patients.

Conclusion: Significant difference was observed between stroke patients with/without diabetes in terms of age, several risk factors, presenting symptoms, pattern, and its subtype.

Downloads

Download data is not yet available.
Abstract
111
PDF
207

Downloads

Published

2022-12-01

How to Cite

Deepali Joshi, Mohd Maroof, Subhash Chandra Joshi, & Vivekanand Satyawali. (2022). Study of clinical profile and pattern of stroke in diabetic and non-diabetic patients in a hospital of Kumaon region. Asian Journal of Medical Sciences, 13(12), 111–116. Retrieved from https://nepjol.info/index.php/AJMS/article/view/46668

Issue

Vol. 13 No. 12 (2022)

Section

Original Articles

License

Copyright (c) 2022 Asian Journal of Medical Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).