A study on clinical and laboratory profiles of hemorrhagic and ischemic strokes in an Eastern Indian teaching Hospital

Background: Stroke is a frequent cause of death and disability. This study was carried out to establish the pattern of various types of cerebrovascular accident (CVA) and comparison between hemorrhagic and ischemic stroke in Eastern India.Methods: This is a retrospective study of sample size 367 CVA patients; among them, 218 were ischemic and 149 were hemorrhagic admitted to Department of General medicine and Neurology of the hospital.Results: Of the total 367 patients, there were 149 as hemorrhagic stroke patients and 218 patients as ischemic stroke patients. Ratio of hemorrhagic to ischemic stroke was 40.6: 59.4. Among patients in hemorrhagic patients male to female ratio was 1.6:1 and in ischemic stroke patients male to female ratio was 1.27:1. It was recorded that prevalence of ischemic stroke was higher than hemorrhagic type.Conclusions: The CVA was associated with blood pressure, cholesterol and use of tobacco as the common risk factor for ischemic stroke. It was recorded that ischemic stroke patients had reported frequently than hemorrhagic patients

SURVEILLANCE OF MORTALITY: FROM A TERTIARY CARE TEACHING HOSPITAL OF EASTERN INDIA IN PERSONS WITH AND WITHOUT DIABETES MELLITUS

Objective: There is abundant knowledge about the gravity of global load of diabetes mellitus (DM). There are conflicting reports on the cause of death from different parts of the world. In India, there are not enough studies to establish the cause of death in DM. To find out the mortality pattern in DM and non-DM (NDM) in a tertiary care teaching hospital in Eastern India.Methods: Retrospective analysis of in-hospital mortality in a tertiary care hospital in Eastern India, from January 2012 to December 2015.Results: There were a total of 1590 deaths of which 442 were having DM and 1148 did not have DM (NDM). Mean age of death for nondiabetics was 66.4 years (M:F = 67.5:65.3) and that for diabetics were 62.7 years (M:F = 63.5:60.04) which was not statistically significant (p=0.9) though diabetics died younger by 4 years. On analyzing the specific cause of death, coronary artery disease (CAD) was 14.71% in DM and 1.57% in NDM (p=0.0001). Chronic kidney disease (CKD) was 18.55% in DM and 1.92% in NDM (p=0.0001). Congestive heart failure was 7.27% in DM and 1.83% in NDM (p=0.0001). CVA was 13.57% in DM and 1.66% in NDM (p=0.0001). Infection was the most common cause of death (39.37%) in DM, but in NDM also this was quite high 34.41% (p=0.21). The death due to CVA in DM was more in hemorrhage as compared to ischemic (p=0.00001).Conclusion: We found causes of death in DM were an infection, CKD, CAD, CVA, and CHF in descending order in this part of the world. The diabetes patients had lesser hospital stay than nondiabetes patients (p=0.009)