Factors Associated with Cerebrovascular Disease in Patients with Diabetes and Hypertension at Srinarong Hospital

Abstract

The objective of this case-control research study was to examine factors associated with stroke in patients with diabetes and hypertension at Srinarong hospital, Surin province. Samples were consisted of patients with diabetes and hypertension retrieved from the hospital’s medical records (HosXP) admitted to the hospital during 2019-2021 fiscal years by considering the proportion of factors causing stroke in patients with diabetes and hypertension of 1:1. A total samples of 276 patients were included in this study. was used with retrospective data collection method. Retrospective data collection was utilized and analyzed using descriptive statistics: frequencies, percentages, means, standard deviations and inferential statistics including Chi-square tests and odds ratio.

Results showed that the majority of stroke patients were males (n=77; 55.80%) and aged between 27-99 years ( =67.17, SD=13.01). The majority were farmers (n=57; 41.30%). There were 64 persons with a normal body mass index (BMI) (46.38%). There were 46 persons (47.83%) who had ever smoked and 61 persons (44.20%) who drinks alcohol. There were 104 persons (75.36%) with history of high blood pressure and 97 persons (70.29%) with a history of diabetes. Factors associated with stroke in patients with chronic non-communicable diseases included smoking history (OR=1.89; 95% CI=1.16-3.09), alcohol drinking history (OR= 2.52; 95% CI=1.51-4.22), history of high blood pressure (OR=2.681; 95% CI=1.384-5.193), history of diabetes (OR=1.821; 95% CI=1.038-3.193), history of hyperlipidemia (OR=1.905; 95% CI=1.180-3.074), accumulated blood sugar level (HbA1c) >7% (OR=1.738, 95% CI = 1.033-2.923), and HDL cholesterol level<40 mg/dl (OR=1.682, 95% CI 1.017-2.783).