ISSN 0303-5212
 

Original Research 
RMJ. 2016; 41(4): 398-401


Pattern and risk factors for stroke in a District Hospital of Johor Malaysia

Yang Liang Boo, Hong Tak Lim, Chee Ming Goh, Nai Chien Huan, Pek Woon Chin, Siew Mooi Ching, Fan Kee Hoo.

Abstract
Objective: To explore the demographic data, risk factors and patterns of stroke patients in a Malaysia district hospital.
Methodology: This observational study was conducted in a district hospital of Johor, Malaysia from July 2014 to December 2014. Risk factors, clinical characteristics, and details of the acute stroke were analysed.
Results: 143 patients were recruited with a mean age of 62±14 years old. 61.5% were male and 70.6% with the education level of primary school and below. The top three risk factors for stroke were hypertension (76.2%), diabetes (51.0%) and dyslipidemia (18.2%). CT brain showed infarction in 69 (48.3%) patients, 23 (16.1%) had haemorrhage, and normal in 50 (35%) patients. The median hospital arrival time was 13.6 hours (IQR: 13.5 hours) with 43 (30.1%) patients arrived hospital less than 4.5 hours. The median time of the door to CT scannin was 95 minutes (IQR: 132 minutes). The mean NIHSS score was 8.7. According to TOAST classification 82 (52.7%) patients had small-vessel occlusion disease while 28 (19.6%) patients were large artery disease.
Conclusion: With one-third of the patients arriving the hospital within 4.5 hours, the option of thrombolysis as the mainstay of treatment in acute ischemic stroke needs to be explored in a district hospital. Public awareness of signs and symptoms of stroke is important to promote the eligibility of thrombolysis therapy. Furthermore, optimisation of risk factors will play a role in reducing the incidence of stroke.

Key words: stroke, prevalence, Malaysia, district hospital cerebrovascular accident


 
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How to Cite this Article
Pubmed Style

Yang Liang Boo, Hong Tak Lim, Chee Ming Goh, Nai Chien Huan, Pek Woon Chin, Siew Mooi Ching, Fan Kee Hoo. Pattern and risk factors for stroke in a District Hospital of Johor Malaysia. RMJ. 2016; 41(4): 398-401.


Web Style

Yang Liang Boo, Hong Tak Lim, Chee Ming Goh, Nai Chien Huan, Pek Woon Chin, Siew Mooi Ching, Fan Kee Hoo. Pattern and risk factors for stroke in a District Hospital of Johor Malaysia. https://www.rmj.org.pk/?mno=232953 [Access: December 05, 2023].


AMA (American Medical Association) Style

Yang Liang Boo, Hong Tak Lim, Chee Ming Goh, Nai Chien Huan, Pek Woon Chin, Siew Mooi Ching, Fan Kee Hoo. Pattern and risk factors for stroke in a District Hospital of Johor Malaysia. RMJ. 2016; 41(4): 398-401.



Vancouver/ICMJE Style

Yang Liang Boo, Hong Tak Lim, Chee Ming Goh, Nai Chien Huan, Pek Woon Chin, Siew Mooi Ching, Fan Kee Hoo. Pattern and risk factors for stroke in a District Hospital of Johor Malaysia. RMJ. (2016), [cited December 05, 2023]; 41(4): 398-401.



Harvard Style

Yang Liang Boo, Hong Tak Lim, Chee Ming Goh, Nai Chien Huan, Pek Woon Chin, Siew Mooi Ching, Fan Kee Hoo (2016) Pattern and risk factors for stroke in a District Hospital of Johor Malaysia. RMJ, 41 (4), 398-401.



Turabian Style

Yang Liang Boo, Hong Tak Lim, Chee Ming Goh, Nai Chien Huan, Pek Woon Chin, Siew Mooi Ching, Fan Kee Hoo. 2016. Pattern and risk factors for stroke in a District Hospital of Johor Malaysia. Rawal Medical Journal, 41 (4), 398-401.



Chicago Style

Yang Liang Boo, Hong Tak Lim, Chee Ming Goh, Nai Chien Huan, Pek Woon Chin, Siew Mooi Ching, Fan Kee Hoo. "Pattern and risk factors for stroke in a District Hospital of Johor Malaysia." Rawal Medical Journal 41 (2016), 398-401.



MLA (The Modern Language Association) Style

Yang Liang Boo, Hong Tak Lim, Chee Ming Goh, Nai Chien Huan, Pek Woon Chin, Siew Mooi Ching, Fan Kee Hoo. "Pattern and risk factors for stroke in a District Hospital of Johor Malaysia." Rawal Medical Journal 41.4 (2016), 398-401. Print.



APA (American Psychological Association) Style

Yang Liang Boo, Hong Tak Lim, Chee Ming Goh, Nai Chien Huan, Pek Woon Chin, Siew Mooi Ching, Fan Kee Hoo (2016) Pattern and risk factors for stroke in a District Hospital of Johor Malaysia. Rawal Medical Journal, 41 (4), 398-401.