Abstract

A PROSPECTIVE OBSERVATIONAL STUDY ON TYPES OF STROKES AND ITS PHARMACOLOGICAL MANAGEMENT IN A TERTIARY CARE TEACHING HOSPITAL

G. Salwa*, P. Sai Kumar, K. Lakshmi, G. Radha, V. Ravi and P. Sivaram

ABSTRACT

Stroke is the second leading cause of death and contributor to disability worldwide and has significant economic costs. The last 23 years of stroke research has brought considerable progress with respect to animal experimental models, therapeutic drugs, clinical trials and post stroke rehabilitation studies. Stroke is an acute, focal or diffuse, dysfunction of the brain originating from blood vessels and lasting for a period longer than a day. The aim of the study is to study about types of strokes and its pharmacological treatment in a tertiary care hospital. A prospective observational study was conducted for a period of 6 months [September 2023 - February 2024] during the year 2023-2024 at Andhra Pradesh Vaidhya Vidhana Parishad Hospital or District Government Hospital, Proddatur. A specially designed proforma was used for collecting data. Our study shows that male patients 71 [59.16%] were higher than female patients 49 [40.83%]. The age groupof 61-70 years shows the higher rate of male patients 37 [52.11%] than age group of 51-60 years which shows the rate of male patients 23 [32.39%] and the age group of 41-50 years shows the lowest of male patients as 11 [15.49%]. Our study shows that for 120 patients, the treatment regimen was Antiplatelet drug [Aspirin] was given for 111 patients, Atorvastatin was given for 114 patients, Clopidogrel for 87 patients. In patients with acute ischemic stroke and AF, treatment with NOACs was associated with 3% combined rate for ischemic embolic recurrence and severe bleeding within 90 days. So choice of agent in patient’s acute stroke and AF was warrantied. The general population must be educated about methods of preventing stroke by making positive lifestyle changes and proper rehabilitation therapy foe stroke patients maximize their quality of life.

Keywords: Stroke, Hypertension, Rehabilitation.