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The presentation of medical complications in the acute in-hospital management of stroke patients and their determinants: a cross-sectional study
Author(s)
Muhammad Tabish Ikram Department of Medicine, Hayatabad medical complex,Peshawar -,Pakistan
Hashim Uddin Azam Department of Medicine, Khyber teaching hospital,Peshawar -,Pakistan
Kamal Uddin Azam Department of Medicine, Hayatabad medical complex,Peshawar -,Pakistan
Amina Arif Department of Medicine, Hayatabad medical complex,Peshawar -,Pakistan
Asad Rahman Department of Medicine, Hayatabad medical complex,Peshawar -,Pakistan
Bakht Danyal Khan Department of Medicine, Hayatabad medical complex,Peshawar -,Pakistan
Adam khan Rahim Department of Medicine, Hayatabad medical complex,Peshawar -,Pakistan
Abstract
Objectives: To find the frequency of Acute Medical complications and their determinants in stroke patients admitted to a hospital in Peshawar. Materials and Methods: In this cross-sectional descriptive study in the Department of Medicine and Neurology at Hayat Abad Medical Complex, Peshawar, Pakistan from 1/10/2022 till 31/12/2022, a total of 180 patients who presented with Cerebrovascular events based on CT/MRI were included. Patients' data were collected through questionnaires, NIHSS and GCS scores were calculated at the presentation and patients were followed in the hospital to detect complications. Comparisons with p-values were then determined using SPSS. Results: The overall rate of stroke complications in 180 patients documented was 90%, the common being Aspiration Pneumonia (48.89%), Urinary Tract infections (30%), Bedsores (28.33%), Pyrexia illness (22.22%) and Seizures (12.78%). NIHSS scores had a direct relationship, with patients scoring >12 having a complications rate of 93% in contrast to 76.5% in patients with scores of =3 (p-value 0.032). GCS at presentation had similar predictive value with scores of 15/15 having 73% and =8 having a 91% complication rate. Duration of hospitalization (p-value 0.014) had a key impact as patients admitted for a month had higher percentages of complications primarily UTI (52.4%), Bedsores (71%), and Constipation (33.3%). Treatments like Dexamethasone (p-value 0.003) and antiplatelets (p-value 0.010) were found to increase the rate of complications. Conclusion: In-hospital post-stroke complications are common having a direct link with stroke severity, hospitalization duration, and treatment given. An active approach is needed to identify and treat any complications early, thereby, improving outcomes and decreasing morbidity.
Publication Details
Page(s) 250-255
DOI 10.52764/jms.23.31.3.18
Published Journal: Journal of Medical Science, Volume: 31, Issue: 3, Year: 2023
Keywords
Complications Stroke inhospital management
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