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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Risk factors of stroke in Pakistan: a dedicated stroke clinic experience.
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Risk factors of stroke in Pakistan: a dedicated stroke clinic experience.

机译：巴基斯坦中风的危险因素：专门的中风诊所经验。

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BACKGROUND: Secondary prevention of cerebrovascular disease through dedicated stroke clinics has been shown to decrease recurrent vascular events in patients. However, there is limited literature describing such stroke clinic experiences from low and middle income countries. This study describes patient characteristics and observations made at the first systematized stroke clinic in Pakistan. METHODS: A retrospective audit of medical records of all patients presenting between September 2006 and August 2008 with a cerebrovascular event was conducted. Information about clinical presentation, modifiable risk factors and laboratory and radiological investigations was collected. Burden of disability was assessed using Modified Rankin score. Data was entered and analyzed using SPSS 14.0. RESULTS: 159 patients with a mean age of 57.0 +/- 13.9 years were included in this study and 34.6% of all patients were women. 108 patients were diagnosed with ischemic stroke (67.9%) while 34 patients presented with hemorrhagic stroke (21.4%) and 17 patients presented with transient ischemic attacks (10.7%). Hypertension was the most common modifiable risk factor seen in 78.0%, followed by diabetes in 40.3% and dyslipidemia in 31.5%. At presentation to clinic, only 26.0% patients with dyslipidemia and 64.5% patients with hypertension were on appropriate medications. CONCLUSION: A high prevalence of modifiable risk factors such as hypertension in stroke patients was observed and it presents an opportunity for conventional interventions in Pakistan. Systematized clinics for stroke and an algorithmic approach in primary care towards stroke may improve the implementation of evidence based secondary prevention strategies in developing countries.
机译：背景：通过专门的中风诊所对脑血管疾病的二级预防已显示可减少患者复发性血管事件。但是，很少有文献描述中低收入国家的这种中风诊所的经历。这项研究描述了巴基斯坦首家系统化中风诊所的患者特征和观察结果。方法：对2006年9月至2008年8月期间出现脑血管事件的所有患者的病历进行回顾性审核。收集了有关临床表现，可改变的危险因素以及实验室和放射学检查的信息。使用改良的兰金评分评估残疾负担。使用SPSS 14.0输入数据并进行分析。结果：该研究纳入了159名平均年龄为57.0 +/- 13.9岁的患者，所有患者中34.6％为女性。 108例被诊断为缺血性中风（67.9％），而34例出血性中风（21.4％）和17例短暂性脑缺血发作（10.7％）。高血压是最常见的可改变危险因素，占78.0％，其次是糖尿病，占40.3％，血脂异常，占31.5％。在就诊时，只有26.0％的血脂异常患者和64.5％的高血压患者正在接受适当的药物治疗。结论：在中风患者中，高血压等可改变的危险因素普遍存在，这为巴基斯坦进行常规干预提供了机会。中风的系统化诊所和针对中风的初级保健中的算法方法可能会改善发展中国家基于证据的二级预防策略的实施。

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