Diapositiva 1

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The prevalence of Recurrent Stroke and TIA and
the related factors among Hypertension and
hypertension with type 2 Diabetes in Thailand.
By Nitchamon Rakkapao
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Background

• Stroke is a major public health problem and the
  trend is increasing continuously
• Recurrent stroke and TIA is a leading cause of
  serious long-term disability.
• Previous studies have been carried out in
  developed regions

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Background

• A few data of prevalence of recurrent stroke and
  TIA in developing areas has been reported.
• In Thailand a study of recurrent stroke and TIA
  were explored overall among Hypertension and
  Hypertension with T2DM has not been shown.

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Objectives

• To investigate the prevalence of recurrent stroke
  and TIA and the related factors among
  Hypertension and Hypertension with type 2
  Diabetes in Thailand.
• .

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Methods

• This study is a part of DMHT database in
  Thailand, 2010-2012
• as Cross-sectional study.
• Data collection was done by health officer.
• Of 104,235 cases
• multiple logistic regressions were used for data
  analysis.

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Results
Demographic characteristics of stroke patients (n 3,805) n
Sex ,male 2,060 54.1
Age (years) Mean (SD) 65.1 (10.4)
Body mass index Mean (SD) 24.3(4.1)
Systolic BP Mean (SD) 131.4 (17)
Diastolic BP Mean (SD) 65.1 (10.4)
Total cholesterol gt200 mg/dL 1,680 44.2
Triglyceride gt150 mg/dL 1,931 50.7
LDL-Cholesterol gt100 mg/dL 2,306 60.6
HDL- Cholesterol lt40 mg/dL 303 8.0
Smoke Current 280 9.2
Ever smoked 1,026 33.7

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Results
Demographic characteristics of stroke patients (cont.) n
Occupation
Agricultural 1,101 29.6
Employee 693 18.6
Housekeeper 1,283 34.5
Underlying diseases Hypertension 2,569 67.5
Duration of Hypertension (years) Mean (SD) 6.1(4.1)
Type of Cerebrovascular disease
Infarction 543 24.2
ischemic 658 29.3
Hemorrhage 250 11.1
Unknown stroke 411 18.3
TIA 384 17.1

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Prevalence of recurrent stroke and TIA
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Prevalence of recurrent stroke and TIA
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Prevalence of recurrent stroke and TIA
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Prevalence of recurrent stroke and TIA
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Results (cont.)
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Results (cont.)
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DISCUSSIONS

• In this study have found the prevalence of
  recurrent stroke and TIA among Hypertension and
  Hypertension with type 2 Diabetes patients was
  1.8 in all 3,805 eligible participants, But that
  may be underestimated Because patients have
  recurrent stroke died before collected data

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DISCUSSIONS

• A limitation of this study is that some variables
  were not explored such as duration before
  occurred recurrence, lifestyle and Self-care
  behaviors

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Conclusions

• In this study have found the prevalence of
  recurrent stroke and TIA among Hypertension and
  Hypertension with type 2 Diabetes patients was
  1.8 in all 3,805 eligible participants

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Conclusions
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• Thank you for your attention