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Early Complications of Stroke in Hospitalized Patients in Erbil

Azad Hamad
Department of Medicine, College of Medicine, Hawler Medical University, Erbil,Iraq
kameran Ismail
Department of Community Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq.
Rashid Bibani
Department of Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq.
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Copyright (c) 2023 Azad Hamad, kameran Ismail, Rashid Bibani (Author)

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Abstract

Background and objective: Medical complications are accepted to be an imperative issue after acute stroke and show potential restrictions to optimal improvement. The purpose of this study was to determine the frequency of acute phase complications after stroke.

Methods: This cross-sectional study was conducted between 1st August -to 31st December 2019. A convenience sample of 203 stroke patients attending Rizgary Teaching Hospital in Erbil, Iraq was taken. Patients were followed-up daily and the complications were recorded.

Results: The mean age ± SD of complicated patients was 65.86 ± 15.34 years, while of uncomplicated patients was 63.0 ± 14.72 years. The results revealed that the most common complication of the stroke patients was pain (45.4%), fever (30.3%) and the least ones were urinary traction infection (0.7%) and deep vein thrombosis (0.7%). The results found that 82.4% of the female stroke patients were complicated, while 66.3% of the males were complicated and there was statistically significant association (P = 0.008) between the development of complications and gender, also the rate of complications among illiterate and primary and secondary school patients were 78.4% and 68.3%, respectively while among university patients was 44.4% and there was statistically significant association (P = 0.041) between the development of complication and the educational level of patients.

Conclusion: The findings of this study suggest that post stroke neuro-medical complications are common as concluded in previous studies with few contrasts. The form of these complications is comparable with other setups.

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References

  1. Ingeman A, Andersen G, Hundborg HH, Svendsen ML, Johnsen SP. In-hospital medical complications, length of stay, and mortality among stroke unit patients. Stroke. 2011; 42:3214–8. DOI:10.1161/STROKEAHA.110.610881
  2. Lee S, Shafe AC, Cowie MR. UK stroke incidence, mortality and cardiovascular risk management 1999-2008: Time-trend analysis from the general practice research database. BMJ Open. 2011; 1:e000269. DOI: 10.1136/bmjopen-2011-000269
  3. Bovim MR, Askim T, Lydersen S, Fjaertoft H, Indredavik B. Complications in the first week after stroke: a 10-year comparison. BMC Neurol. 2016; 16:133.DOI: 10.1186/s12883-016-0654-8
  4. Goldstein LB, Bushnell CD, Adams RJ, Appel LJ, Braun LT, Chaturvedi S, et al. Guidelines for the primary prevention of stroke: A guideline for healthcare professionals from the american heart association/american stroke association. Stroke 2011; 42 (2):517–84. DOI: 10.1161/STR.0b013e3181fcb238.
  5. Hong KS, Saver JL, Kang DW, Bae HJ, Yu KH, Koo J, et al. Years of optimum health lost due to complications after acute ischemic stroke: Disability adjusted life-years analysis. Stroke. 2010; 41:1758–65. https://doi.org/10.1161/STROKEAHA.109.576066
  6. Rohweder G, Ellekjaer H, Salvesen O, Naalsund E, Indredavik B. Functional outcome after common poststroke complications occurring in the first 90 days. Stroke. 2015; 46:65–70. DOI: 10.1161/STROKEAHA.114.006667
  7. Langhorne P, Ramachandra S. Stroke Unit Trialists' Collaboration. Organised inpatient (stroke unit) care for stroke: network meta-analysis. Cochrane Database Syst Rev. 2020; 4:CD000197. DOI: 10.1002/14651858.CD000197.pub4
  8. Marston L, Carpenter JR, Walters KR, Morris RW, Nazareth I, White IR, et al. Smoker, ex-smoker or non-smoker? The validity of routinely recorded smoking status in UK primary care: a cross-sectional study. BMJ Open. 2014; 4(4): e004958. DOI: 10.1136/bmjopen-2014-004958
  9. Navarro JC, Bitanga E, Suwanwela N, Chang HM, Ryu SJ, Huang YN, et al. Complication of acute stroke: a study in ten Asian countries Neurol Asia 2008;13:33–9.
  10. Park TH, Lee JK, Park MS, Park SS, Hong KS, Ryu WS, et al. Neurologic deterioration in patients with acute ischemic stroke or transient ischemic attack. Neurology. 2020; 95(16):e2178–91. DOI: https://doi.org/10.1212/WNL.0000000000010603
  11. Santaluciaa P, Pezzellab FR, Sessa M, Monaco S, Torgano G, Anticoli S, et al. Sex differences in clinical presentation, severity and outcome of stroke: Results from a hospital-based registry. Euro J Intern Med. 2013; 24(2):167–71. DOI: 10.1016/j.ejim.2012.10.004
  12. Fekadu G, Chelkeba L, Melaku T, Gamachu B, Gebre M, Bekele F, et al. Management protocols and encountered complications among stroke patients admitted to stroke unit of Jimma university medical center, Southwest Ethiopia: Prospective observational study. Ann Med Surg. 2019; 48:135–43. DOI: 10.1016/j.amsu.2019.11.003
  13. Ji R, Wang D, Shen H, Pan Y, Liu G, Wang P, et al. China National Stroke Registry (CNSR) Investigators. Interrelationship among common medical complications after acute stroke: pneumonia plays an important role. Stroke. 2013; 44(12):3436–44. DOI: 10.1161/STROKEAHA.113.001931
  14. Amir Y,Halfens RJG, Lohrmann C, Schols J MGA. Pressure ulcer prevalence and quality of care in stroke patients in an Indonesian hospital. J Wound Care. 2013; 22(5):254–60. DOI: 10.12968/jowc.2013.22.5.254
  15. Seners P, Turc G, Oppenheim C, Baron JC. Incidence, causes and predictors of neurological deterioration occurring within 24 h following acute ischaemic stroke: a systematic review with pathophysiological implications. J Neurol Neurosurg Psychiatry. 2015; 86:87. DOI: 10.1136/jnnp-2014-308327
  16. Park TH, Lee JK, Park MS, Park SS, Hong KS, Ryu WS, et al. Neurologic deterioration in patients with acute ischemic stroke or transient ischemic attack. Neurology. 2020; 95:e2178. DOI: 10.1212/WNL.0000000000010603
  17. Shah SV, Corado C, Bergman D, Curran Y, Bernstein RA, Naidech AM, et al. Impact of Poststroke Medical Complications on 30-Day Readmission Rate. J Stroke Cerebrovasc Dis. 2015; 24(9):1969–77. DOI: 10.1016/j.jstrokecerebrovasdis.2015.04.037
  18. Cox R, Buckholtz B, Bradas C, Bowden V, Kerber K, McNett MM. Risk Factors for Falls Among Hospitalized Acute Post-Ischemic Stroke Patients. J Neurosci Nurs. 2017; 49:355. DOI: 10.1097/JNN.0000000000000322
  19. Lekoubou A, Fox J, Ssentongo P. Incidence and Association of Reperfusion Therapies with Poststroke Seizures: A Systematic Review and Meta-Analysis. Stroke. 2020; 51:2715. DOI: 10.1161/STROKEAHA.119.028899
  20. Szaflarski JP, Rackley AY, Kleindorfer DO, Khoury J, Woo D, Miller R, et al. Incidence of seizures in the acute phase of stroke: A population-based study, Epilepsia. 2008; 49(6): 974–81. DOI: 10.1111/j.1528-1167.2007.01513.x
  21. Yan T, Liu C, Li Y, Xiao W, Li Y, Wang S. Prevalence and predictive factors of urinary tract infection among patients with stroke: A meta-analysis. Am J Infect Control. 2018; 46:402. DOI: 10.1016/j.ajic.2017.10.001
How to Cite
Hamad, A., Ismail, kameran ., & Bibani, R. . (2023). Early Complications of Stroke in Hospitalized Patients in Erbil . Zanco Journal of Medical Sciences (Zanco J Med Sci), 27(1), 21–27. https://doi.org/10.15218/zjms.2023.004

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