The Role of Lifestyle in Reducing Stroke Morbidity and Mortality in Acute Stroke Patients Treated at Adam Malik Hospital of Medan, Indonesia
Year: 2015
Type: article
Study design: Observational Study
Abstract: Strokes are common, and lifestyle contributes to this high incidence. To reduce the incidence of stroke, it is necessary to identify and understand the role of lifestyle in the occurrence of this disease. A hospital-based case control study was conducted. The cases and controls studied consisted of 55 hospitalized patients with stroke (confirmed by computed tomography scan) and 55 unmatched-age and sex controls that were hospitalized at the study hospital for condition other than stroke. Socio-demographic characteristics, medical information and lifestyle risk factors were collected from the cases and the controls by interview and recorded using questionnaire. Data analysis using SPSS release 20.0 and epi info release 6. Cross tabulation was used to select the significant variables and followed by trend and stratification analysis. The multivariate logistic regression used to determine the lifestyle predictors of stroke. The results revealed that age, smoking and a history of hypertension are all independent of each other in their risk for stroke. Hypertensive patients were found to have an 808.9-fold increase in the risk of stroke (OR: 808.9; 95% CI: 35.78-1824.7) when compared to non-hypertensive patients. The smoking of ≥21 cigarettes/day was found to result in a 64.09-fold increase in the risk of stroke (OR: 64.09; 95% CI: 2.07-198.1) compared to those who never smoked. These results indicate that hypertension was the greatest risk factor for stroke. Regular treatment for control hypertension and cessation of cigarette smoking through changes in lifestyle might contribute to a reduction in the incidence of stroke.
Source: JOURNAL OF HEALTH SCIENCE
Language: English
Subfield: Clinical Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W73334505