Factors of Control Hypertension or Non-insulin-dependent Diabetes Mellitus Type 2 on The Severity of Stroke and Survival Rates Within 1 year in Trat Province
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Abstract
BACKGROUND: The situation of non-communicable disease groups is a leading health problem in the world. For the situation in Thailand, an increase in the number of new diagnoses and death cases among stroke patients was found from 2017-2022. For the situation in Trat Province, it was found that the sickness rates tended to be stable. As for the death rate per 100,000 people from stroke, there was a continuous upward trend. Therefore, a research project was organized to study the factors for control of diseases (hypertension or non-insulin-dependent diabetes mellitus type 2) concerning the severity of strokes and survival rates during 1 year, which could be used as information for future patient care.
OBJECTIVES: To study the factors that influence the severity of strokes and correlate them with survival rates within 1 year in Trat Province.
METHODS: This was a retrospective analytic cohort study. Data were collected using a Case Record Form (CRF) to record information from a total of 291 cases involving hypertension and non-insulin-dependent diabetes mellitus type 2 patients who entered the stroke treatment system at Trat Hospital during the year 2022. Data were analyzed by Chi-square statistics to test the relationship of NCD control with the severity of strokes. The Kaplan-Meier Curve was used to test the hypotheses for comparing survival rates using Log-rank test statistics.
RESULTS: It was found that the patients had good control of hypertension, which resulted in reduced severity of strokes. However, there was little to no effect on the patient's survival rate in one year. Controlling type 2 diabetes and hypertension in type 2 diabetes patients did not affect the severity of strokes or the survival rates of patients over a period of 1 year.
CONCLUSIONS: The patients with hypertension control will find the first-time severity of the stroke to be lower than the uncontrolled groups.
ClinicalTrials.gov Identifier, NCT06288269
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