STROKES AND ITS ANATOMICAL PERSPECTIVE: A REPORT FROM KPK A CROSS-SECTIONAL OBSERVATIONAL STUDY

Main Article Content

Zahid Sarfaraz
Nighat Ara
Muhammad Qaseem
Aftab Ud Din

Keywords

Headings, Stroke, anatomy, prevalence in KPK

Abstract

Background: Stroke is a significant cerebrovascular event that impacts global health. It occurs in varying degrees and has variable effects across communities.


Methods: The study comprised a cohort of 100 patients to investigate stroke's anatomical location and prevalence in the KPK population.


Study Design: A Cross-sectional Observational Study.


Place and Duration of Study: Department of Anatomy, with the collaboration of Neurosurgery Department Nowshera Medical College, from Jan 2023 to May 2023


Method: One hundred patients admitted to the neurosurgery unit of Qazi Hussain Ahmad Medical Complex (QHAMC) Nowshera were observed for prevalence and pattern identification by establishing a cross-sectional observational design. Ischemic or hemorrhagic lesions and affected brain areas were identified with imaging modalities, e.g., CT and MRI. Data was collected using a well-organized database, which included demographic information, healthcare records, and imaging results.


Results: Among the 100 cases of stroke patients collected, the ischemic lesion was more prevalent (75%), with the middle cerebral artery territory being the most affected area. The most common risk factor detected was hypertension (60% [35 of 58 patients]), followed by diabetes in patients accounted for. In addition, hemorrhagic strokes, the less common type of stroke, had poor outcomes with a higher mortality rate than ischemic strokes. Results from statistical analysis highlighted the potential role of the hypertension epidemic as the study found a major modifiable risk factor (RF) with a substantial relative risk (RR) for ischemic stroke (p < 0.05).


Conclusion: Understanding the anatomical location of a stroke and the frequency at which it occurs may inform the development of preventative strategies appropriate for each specific local healthcare context.

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