Cerebrovascular disease in Lamphoon Hospital

Abstract

          Cerebrovascular disease is a major problem in Medical practice because it’s found common. It’s make the Deformity and high mortality rate. In the study of cerebrovascular disease will be the data to use in making plan for prevent disease and improve health to decrease severity of cerebrovascular disease Objective: To explain the characteristics and risk factor of patient with cerebrovascular disease Design: Retrospective cohort study Setting:Lamphoon Hospital. Methods: Patients diagnosed with cerebrovascular disease were searched from the hospital medical records dating between October 2003 and September 2005. Information was retrieved from the medical records. They included general and clinical characteristics of the patients, risk characteristic, signs and symptoms, treatment outcomes, complications ,length of stay and cost of treatment. Data were explained by descriptive statistics. Results: There were 260 patients diagnostic as cerebrovascular disease, with 1:3. Aged over 70 years 46.2 %. Co-morbidity is Hypertension 51.5%, cigarette smoking 18.5%, Diabetes mellitus 13.5%, alcohol drinking 10.8%, Dyslipidemia 0.8%, cardiac disease 9.3%. Cerebral infarct were reported in 68.9%, cerebral hemorrhage 27.7%. Symptom found right side weakness 40.8% left side weakness 38.5%. Glasgow Coma Score (GCS) 12.4 +/- 3.6. Computer tomography 57.7% found cerebral infarct 57.6% and cerebral hemorrhage 37.1%. After treatment patient improve 68.9% worsen 28.1% . Patient can discharge 69.2%, against advice and death 17.3%, complication found 13.1%. Length of stay 3.9 +/- 3.8 days. Cost of treatment 9128 +/- 18.135. Conclusion: From this study found this risk factor in Lampoon hospital is Hypertension, cigarette smoking , diabetes mellitus, alcohol drinking, cardiac disease, dyslipidemia then there will be try to prevent and correct in this risk factor and will be improve management of cerebrovascular disease by use clinical guideline.