case fatality rate in one month duration for first ever stroke in Tikrit teaching hospital

Abstract

Background: Stroke is one of the leading causes of death in the world. Knowledge about predictors of early fatality is essential for optimizing stroke survival strategies- Studies on predictors of survival witfrin the first week after stroke are few and address only some of the potential factors associated with early fatality.
Aim: To identifr the mortality rate for shoke, its types and to determine predictors of one- month mortality.
Prtien8 and Methods:
Descriptive  (case series) study was conducted in the Tikrit Teaching Hospital for (140)
included in this 
study. Stroke caused by trauma, epidurar, subdurar hematoma 
-lst  august 201I
fiom the study as well as patients who had vasculitis, tumors and coagulopathy-  CT scan of brain was performed routinely for every patient within T2hours of admission to determine type of stroke. Twenty five patients send for MRI of brain,
Results: A total of 140 persons (90 male and 50 female) with first ever stroke, ischemic stroke was represent (687o), and hernorrhagic tjpe was e2%a. T\e mean age of patients was 64+5 yean. Regarding risk factors were anaryzed according to type ofstroke, in ischemic, the hypertension (6E.4%o) was commonest risk factor for stroke followed by diabetes mellitus (63 -l%), whereas for hemorrhagic type, the h)rpertension stirr remained the commonest  risk factor (77.7Yo\ followed by smoking (44.44%). hemorrhagic stroke associated with severe GCS on admission S 8 occurs n (73.3o/o), while in ischemic type (10.5%). one_month mortality was 23.1o/o for all strnke patients, and the majority were pari€nts with hemorrhagic stroke (33.3%), while ischemic stroke (15.7%).
conclusions:  Hypertension  was the commonest risk factor for both type of stroke in-hospital mortality rate of stroke in Tikrit Teaching Hospital was relatively similar compared to other studies. The independent risk factors were hemorrhagic stroke and Glasgow coma scale S g on admission.