Age And Sex Differences Among Stroke Patients In Mukalla, Hadramout

Analysis Of 1072 Cases

Abstract

Background & Objectives: Stroke is the third
leading cause of death, and a cause of long-term
disability among survivors, age and male sex are
risk factors for this disease. Hadramout province
is lacking studies about stroke so our aim was to
identify age and sex differences among stroke patients.
Patients and methods: A descriptive retrospective study of stroke patients admitted at Ibnseena
Hospital, Hadhramout, Yemen in between (2011-
2013). Data were collected from patients’ medical
files.
Results: Stroke cases were 1072; ischemic 78.5%
and hemorrhagic 21.5%. Males 56.5% and females 43.5%. Patients with age ˃60 years 72%,
in middle-aged (40-60 years) 25.5%, while young
˂40 years 2.5%. Hypertension was in 63.7% and
53.2% of middle-aged & elderly, and in 29.6% of
young ones. Diabetes in 36.3% and 39.5% of middle-aged and old, while in 7.4% of young ones.
Elderly had ≥2 risk factors (89.9%), 68.9% of middle-aged and 55.6% of the young. Ischemic type
increased with age (63%, 68% & 82.6%), while
hemorrhagic was more in young (37%) than in the
middle-aged (31.9%) and old (17.4%). Coma was
more in the young (29.6%), than in middle-aged
(18.3%) and old (19.6%). Non-significant difference in hypertension between males & females
(54.6%, 56.2%), diabetes (39.3%, 36.3%), previous attack (8.7%, 8.2%) in family history (13.9%,
9.7%). Smoking had significant difference between males & females (29.2%, 3.9%), 94.2% of
males had ≥2 risk factors and females (70%).
Conclusion: stroke increased with age. Ischemic
stroke was more in old in and hemorrhagic in
young patients. Males were generally more affected, but ischemic type was common in females
while hemorrhagic type in males. No sex differences with risk factors rather than smoking was
more in males.