The Contribution of Different Risk Factors in the Occurrence of Stroke

Abstract

Although stroke cause substantial morbidity and mortality, it is unclear how individuals are affected, or a group of risk factors contribute to stroke outcomes especially in developing countries. Methods: This study evaluated the risk factors of stroke. This was a cross-sectional study of stroke patients from Komfo Anokye Teaching Hospital; Adult enrolees who were eligible for inclusion were persons who have had stroke within twenty-four hours of onset without any medication. Questionnaires were used to gather information on medical history, demographic features and lifestyle. The lipid profile, fasting blood sugar and blood pressure were measured, likewise the determination of aminotransferases and gammaglutamyltransferase. Results: Out of 224 stroke patients, of mean age 65.64 ± 1.08 SEM years, used for the study, 56.7% of the patients had hyperglycaemia, whereas 47.2% were known diabetics. Hypertriglyceridaemiawas found in 55.8%, followed by 30.8% of the patients who had a reduced HDL-C and 17.95% of them with increased LDL-C. About 20% of the patients had raised AST, 7.1% raised ALT and 14.7% raised GGT above the normal levels. As high as 63% of stroke patients had high blood pressure. Conclusions: There were a high prevalence of both hypertension and hyperglycaemia among the stroke patients. Based on this study, it is important to stress the need for educating the stroke patients and/or their caregivers, on the aetiology of stroke and the treatment options. The general population should also be educated on primary preventive measures for all age groups and both genders.