Acute complications of stroke. | [Journal of Postgraduate Medical Institute • 2004]

Author(s):

1. Adnan Khan: Department of Neurology, Postgraduate Medical Institute, Lady Reading Hospital Peshawar, Pakistan

2. Akhtar Sherin: Department of Neurology, Postgraduate Medical Institute, Lady Reading Hospital Peshawar, Pakistan

3. Hussain Ahmad: Department of Neurology, Postgraduate Medical Institute, Lady Reading Hospital Peshawar, Pakistan

4. Muhammad Asghar Khalil: Department of Neurology, Postgraduate Medical Institute, Lady Reading Hospital Peshawar, Pakistan

Abstract:

To study the frequency of acute complications of stroke in patients admitted in General Neurology Unit, PGMI, Lady Reading Hospital, Peshawar. This study was conducted on 50 consecutive patients of acute stroke presenting within 7 days of onset of stroke. All patients fulfilling WHO definition of acute stroke were admitted in Neurology unit of LHR. Patients with subarachnised haemorrhage were excluded form study. After initial assessment for degree of neuro-deficit and functional status, patients were investigated for stroke subtypes and underlying causes. Daily assessment of all patients for occurrence of complication was done till discharge form hospital or death of the patients. Out of 50 patients, 24 (48%) were males and 26 (52%) were females. Mean age was 54.38 years (+/- 16.52). Patients with intra-cerebral bleed were 9 while those with cerebral infarction were 41. Median stay in hospital was 6 days. Main complications were chest infection in 12 (24%) and UTI in 5(10%). 24 patients (48%) had no complications. Two patients (4%) died from aspiration pneumonia during hospital stay. Post stroke complications are common and alter the outcome of stroke. Multidisciplinary stroke units are needed to decrease the complications of acute stroke.

Page(s): 220-224

DOI: DOI not available

Published: Journal: Journal of Postgraduate Medical Institute, Volume: 18, Issue: 2, Year: 2004

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