Case fatality rate in one month duration for first ever stroke in Tikrit teaching hospital | ||
| Medical Journal of Tikrit | ||
| Article 1, Volume 18, Issue 182, December 2012, Pages 29-37 | ||
| Author | ||
| Ayied M. Turkey | ||
| Abstract | ||
| Background: Stroke is one of the leading causes of death in the world. Knowledge about predictors of early fatality is essential for optimizing stroke survival strategies. Studies on predictors of survival within the first week after stroke are few and address only some of the potential factors associated with early fatality. Aim: To identify the mortality rate for stroke, its types and to determine predictors of one-month mortality. Patients and Methods: Descriptive (case series) study was conducted in the Tikrit Teaching Hospital for (140) patients who had no history of stroke previously from 1st august 2010 ---1st august 2011 included in this study. Stroke caused by trauma, epidural, subdural hematoma were excluded from the study as well as patients who had vasculitis, tumors and coagulopathy. CT scan of brain was performed routinely for every patient within 72hours of admission to determine type of stroke. Twenty five patients send for MRI of brain. Results: A total of 140 persons (90 male and 50 female) with first ever stroke, ischemic stroke was represent (68%), and hemorrhagic type was (32%). The mean age of patients was 64±5 years. Regarding risk factors were analyzed according to type of stroke, in ischemic, the hypertension (68.4%) was commonest risk factor for stroke followed by diabetes mellitus (63.1%), whereas for hemorrhagic type, the hypertension still remained the commonest risk factor (77.7%) followed by smoking (44.44%). hemorrhagic stroke associated with severe GCS on admission ≤ 8 occurs in (73.3%), while in ischemic type (10.5%). one-month mortality was 23.1% for all stroke patients, and the majority were patients with hemorrhagic stroke (33.3%), while ischemic stroke (15.7%). Conclusions: Hypertension was the commonest risk factor for both type of stroke in-hospital mortality rate of stroke in Tikrit Teaching Hospital was relatively similar compared to other studies. The independent risk factors were hemorrhagic stroke and Glasgow coma scale ≤ 8 on admission. | ||
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