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.

ResultsDemographic 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 44.2Triglyceride >=150 mg/dL 1,931 50.7LDL-Cholesterol >=100 mg/dL 2,306 60.6HDL- Cholesterol <40 mg/dL 303 8.0Smoke ;Current 280 9.2 Ever smoked 1,026 33.7

ResultsDemographic characteristics of stroke patients (cont.) n %

Occupation

Agricultural 1,101 29.6

Employee 693 18.6

Housekeeper 1,283 34.5Underlying diseases; Hypertension

2,569 67.5Duration 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:

Thank you for your attention