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Clinical Characteristics of Stroke Patients in the Northern Thailand

Sasiwimol Kosachunhanun MD., Nipapan Tipayajak B.Sc., M.A., Anong Khunkum B.Sc.
Chiang Mai Neurological Hospital, Department of Medical Services,

Ministry of Public Health, Chiang Mai, Thailand

Background and Objective: Stroke is an important acute neurological

condition which required emergency management. This descriptive cross-

sectional study was aimed to analyze the clinical characteristics and

management of stroke in the Northern Thailand.

Methods: We interviewed patients/relatives and analyzed the data of the

acute stroke patients admitted to twelve government hospitals in the Northern

Thailand during October 2010 to September 2012.

Results: Total of 802 acute stroke patients were recruited, mean age was

65±13.5 years old, 54.1% of the patients were male. Majority of the patients

had lacked of regular exercise 79.7%, occasionally consumed alcohol 32.3%

and smoking 30.2% .Co-morbidities such as hypertension, diabetes,

dyslipidemia were 57.2%, 15.6%, 18.4% respectively. Ischemic and hemorrhagic

stroke were 79.7% and 20.3%, respectively. Majority of the patients were

admitted to general ward 73% and only 13.1% were admitted to stroke unit.

Thrombolytic agent was given to 10.4% of the ischemic stroke patients. The

reasons that this agent was not used were either unavailable in the

hospital(24.5%) or had contraindications(75.5%) including late arrival beyond

time window for thrombolytic therapy (37.9%). Bleeding complications from

thrombolytic agent were found in 15.4% of the patients receiving thrombolytic

agents. Antithrombotic agents for secondary stroke prevention were

subsequently used in 94.7% of ischemic stroke patients.

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19 Annual Academic Meeting of Prasat Neurological Institute, 2015