Factors associated with stroke among adult patients with hypertension in La-ngu District, Satun Province
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Abstract
Background: Worldwide, stroke has become the major cause of mortality and morbidity among the population. Hypertension is one of the factors associated with stroke. Individuals with hypertension are at high risk of developing stroke. This study aimed to assess factors associated with stroke among patients with hypertension in La-ngu district, Satun province.
Methods: A retrospective study was conducted on 199 adult stroke patients selected by simple random sampling from patients admitted to the La-ngu Hospital Medical Center Stroke Unit from January 1, 2017 to December 31, 2021. Data were extracted from January to March 2022 and entered Epi-data v.3.1 and analyzed by R v.4.2. Variables with a p-value of less than 0.25 in the bivariate logistic regression were selected for multivariable logistic regression. The adjusted odds ratio and 95% confidence interval were used to determine the association. p-value < 0.05 was used to declare statistical significance.
Result: The mean age of stroke patients with hypertension and stroke patients without hypertension were 72.7 years (SD±13.60) and 66.7 years (SD±13.70) respectively. Aged 60 years and over (OR=1.9, p-value=0.046), diabetes (OR=4.0, p-value <0.001), fasting blood glucose is between 100 to 125 mg/dL (OR=4.1, p-value<0.001), Fasting blood glucose is 126 mg/dl or higher (OR=4.4, p-value <0.001), and eGFR between 30 and 59 (OR=3.2, p-value=0.008) were found to be significant factors.
Conclusions: Aged 60 years and over, diabetes, high blood sugar levels, and decreased glomerular filtration rate were associated with stroke among adult patients with hypertension
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