一项基于医院的中风相关死亡率研究

Masaraf Hussain, S. Sharma, Baiakmenlang Synmon, Y. Hynniewta
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摘要

背景:中风是全球第二大常见死亡原因。与中风有关的死亡率数据是跟踪卫生趋势和规划卫生政策所必需的。目的:确定1年内脑卒中相关死亡率的发生率,研究脑卒中死亡的人口学特征和危险因素,研究脑卒中并发症导致死亡的情况。材料和方法:我们对2019年3月至2020年3月期间发生的卒中相关死亡率进行了一项回顾性医院研究。对住院期间发生的人口统计资料、合并症和并发症进行了审查。结果:共有51例患者发生卒中相关死亡,主要涉及41-50岁年龄组。除年龄最大(>80岁)年龄组外,男性在卒中相关死亡率中占主导地位。与缺血性中风相比,出血性中风的死亡率更高,平均死亡年龄更低。高血压和饮酒是出血性卒中相关疾病中最常见的合并症,而血脂异常、糖尿病、吸烟和心脏病在缺血性卒中相关死亡中更为常见。吸入性肺炎是卒中相关死亡中最常见的并发症。结论:该研究显示卒中相关死亡率在低龄人群中呈上升趋势。积极治疗合并症和并发症是降低卒中死亡率的必要条件。
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A hospital-based study of stroke-related mortality
Background: Stroke is the second-most common cause of mortality worldwide. Stroke-related mortality data are needed for following health trends and for planning health policy. Objective: The objective is to determine the incidence of stroke-related mortality in 1 year, to study the demographic profile and risk factors of stroke mortality, and to study the complications due to stroke leading to mortality. Materials and Methods: We conducted a retrospective hospital-based study for stroke-related mortality that had occurred between March 2019 and March 2020. The data were reviewed for demographic profile, co-morbidities and complications which had occurred during hospital stay. Results: A total of 51 patients had stroke-related mortality, mostly involving the age group of 41–50 years. There was a male pre-dominance of stroke-related mortality, except in the oldest (>80 years) age group. Haemorrhagic stroke had higher mortality, as compared to ischaemic stroke, with a lower mean age of mortality. Hypertension and alcohol consumption were the most common co-morbidities for haemorrhagic stroke-related morbidities, while dyslipidaemia, diabetes mellitus, smoking and cardiac illness were more common in ischaemic stroke-related mortality. Aspiration pneumonia was the most common complication in stroke-related mortalities. Conclusion: The study has shown a concerning trend of stroke-related mortality involving younger age group. Aggressive treatment of co-morbidities and complications is necessary to reduce mortality due to stroke.
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