An Audit of Stroke at Muhammad Medical College.

Abstract

Objective:
1. To determine the number of stroke patients admitted at Muhammad Medical College, Mirpurkhas.
2. To see the facilities available for management of stroke and make recommendations
Study Design: Retrospective review of case notes.
Place & Duration of Study: Patients admitted with diagnosis of stroke at Muhammad Medical College,
Mirpurkhas with effect from 01-01-2010 to 31-12-2010
Methodology: Retrospective audit of file notes of all patients admit in 2010 with stroke. This study was approved by the Hospital Research & Ethics Committee (No. 240811/REC/001)
Results: 39 patients (24 males and 15 females) were admitted with diagnosis of stroke during this period. The
average age was 57 years (14-90). CT scan showed infarction in 27 (69%) and hemorrhage in 12 (31%). 10 patients (25.6%) died during admission.
Conclusions: Rupture of gravid uterus is a life threatening emergency requiring immediate surgical intervention
with more than 95% feotal deaths and Injudicious use of oxytocin by Dais/ TBAS was the most common cause of
ruptured uterus.
High parity, illiteracy, ignorance coupled with inadequate maternity service, lack of antepartum and intraprtum
care, prior caesarean delivery were identified as risk factors for uterine rupture, its occurrence is usually
associated with considerable maternal and fetal mortality and morbidity.
Keywords: Stroke, Cerebrovascular accident, infarction, hemorrhage.