الفهرس 
Epidemiology
Current Uses for Patient RegistriesOnly 14 pages are availabe for public view
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Abstract
There had been limited epidemiological studies of stroke in Egypt, previous studies included the governorates of Assuit, Sohag and the city of Al Quseir. All these were performed in relatively small populated governorates in upper Egypt (Khedr et al., 2013; Kandil et al., 2003; Tallawy et al., 2013).
To our knowledge there is limited epidemiological studies about stroke in the major markedly populated governorates in Egypt, which makes it difficult to delineate the magnitude of stroke burden in Egypt.
The aim of this work is to perform a hospital based Egyptian stroke registry in Nasr City Health Insurance Hospital and to know most important epidemiological data among Egyptian patients.
The present study is prospective descriptive cohort study. This study included 100 patients which represent all stroke patients admitted to Nasr City Health Insurance Hospital.
Patients were submitted to:
Through medical and clinical neurological assessment.
Level of impairment using the National Institute of Health (NIH) stroke scale and the Modified Rankin Scale (mRS).Routine laboratory tests including: complete blood count, fasting and 2 hours post prandial blood sugar levels, lipid profile including cholesterol and triglycerides, liver, albumin and kidney functions.
specific laboratory investigations for stroke in young patients (younger than 45 years old): A more detailed coagulation profile (anticardiolipin antibodies, lupus anticoagulants, Anti-phospholipid antibodies, protein S, protein C, antithrombin III.
Other blood tests include (antinuclear antibodies [ANA], ds-DNA antibodies, Erythrocyte sedimentation rate, C-reactive protein, antineutrophil cytoplasmic antibodies [ANCA]).
CT brain, MRI brain, MRV or MRA brain, ECG, Echocardiography and Carotid duplex.
The results of the study were summarized in the following:
Mean age of patients was 62 ±11. Patients younger than 45 years old were (10%) of patients.
There were 17 (17%) patients came in time window (less than 4.5 h) but only 3 patients had received thrombolytic therapy.
Most of patients (63%) were from Cairo districts rather than Nasr city and Heliopolis.
Hypertension was the most common risk factor (86%) followed by diabetes mellitus (56%).History of TIA was (5%) of stroke patients.
Most of our patients (59%) had more than 3 risk factor.
There was significant correlations between intial stroke severity and stroke outcome (p-value = <0.001).
There was significant correlations between intial stroke severity and length of hospital stay (p-value=<0.001).
Among stroke type small artery disease was the most common stroke type (58%) of patients, large artery atherosclerosis was (20%) of patients and cardio-embolic stroke was (11%) of patients.
Length of hospital stay were ranged from 2 day to 52 days with mean of 8 ±7.