The prevalence of Recurrent Stroke and TIA and the related factors among Hypertension and hypertension with type 2 Diabetes in Thailand. By: Nitchamon Rakkapao

Background: Stroke is a major public health problem and the trend is increasing continuously Recurrent stroke and TIA is a leading cause of serious long-term disability. Previous studies have been carried out in developed regions

Background: A few data of prevalence of recurrent stroke and TIA in developing areas has been reported. In Thailand a study of recurrent stroke and TIA were explored overall among Hypertension and Hypertension with T2DM has not been shown.

Objectives: To investigate the prevalence of recurrent stroke and TIA and the related factors among Hypertension and Hypertension with type 2 Diabetes in Thailand. .

Methods: This study is a part of DMHT database in Thailand, 2010-2012 as Cross-sectional study. Data collection was done by health officer. Of 104,235 cases multiple logistic regressions were used for data analysis.

Results Demographic characteristics of stroke patients (n =3,805) n % Sex ,male 2,060 54.1 Age (years); Mean (SD) 65.1 (10.4) Body mass index ;Mean (SD) 24.3(4.1) Systolic BP ; Mean (SD) 131.4 (17) Diastolic BP; Mean (SD) 65.1 (10.4) Total cholesterol >=200 mg/dL 1,680 44.2 Triglyceride >=150 mg/dL 1,931 50.7 LDL-Cholesterol >=100 mg/dL 2,306 60.6 HDL- Cholesterol <40 mg/dL 303 8.0 Smoke ;Current 280 9.2 Ever smoked 1,026 33.7

Results Demographic characteristics of stroke patients (cont.) n % Occupation Agricultural 1,101 29.6 Employee 693 18.6 Housekeeper 1,283 34.5 Underlying diseases; Hypertension 2,569 67.5 Duration of Hypertension (years); Mean (SD) 6.1(4.1) Type of Cerebrovascular disease Infarction 543 24.2 ischemic 658 29.3 Hemorrhage 250 11.1 Unknown stroke 411 18.3 TIA 384 17.1

Prevalence of recurrent stroke and TIA

Results

DISCUSSIONS: In this study have found the prevalence of recurrent stroke and TIA among Hypertension and Hypertension with type 2 Diabetes patients was 1.8% in all 3,805 eligible participants, But that may be underestimated Because patients have recurrent stroke died before collected data

DISCUSSIONS: A limitation of this study is that some variables were not explored such as duration before occurred recurrence, lifestyle and Self-care behaviors

Conclusions: In this study have found the prevalence of recurrent stroke and TIA among Hypertension and Hypertension with type 2 Diabetes patients was 1.8% in all 3,805 eligible participants

Conclusions:

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