Risk Factors of Stroke Patients Admitted to a General Hospital in Kuwait

Abdulaziz Ashkanania*, Khalid Ali Hassana & Shekhar Lamdhadeaa Division of Neurology, Department of Medicine, Amiri Hospital, KuwaitAddress correspondence to Abdulaziz Ashkanani, BMBCh, FRCPC, Division of Neurology, Department of Medicine, Amiri Hospital, P.O. Box 2526, Mishref 40176, Kuwait. E-mail: a.ashkanani@amirihospital.comABSTRACTThere are limited data on stroke incidence in the Middle East, and only one study from Kuwait. The aim of this study was to establish a baseline status of stroke in Kuwait. We performed a retrospective chart review of all patients admitted from January 1st to December 31st, 2008 to the Amiri Hospital, Kuwait, who either were discharged or passed away with a diagnosis of stroke. Documented risk factors for stroke were analyzed for the total cohort and for male and female subgroups. Stroke subtypes were defined in accordance with the Trial of Org 10172 in Acute Stroke Treatment (TOAST) criteria. There were 151 cases of stroke, of which 90.1% were ischemic. Eighty-five (56.3%) of the patients had diabetes mellitus, 86 (57.0%) had hyperlipidemia, and 104 (68.9%) had hypertension. Statins were used by 42.4% of the 86 hyperlipidemic patients prior to their presentation, and only 66 hypertensive patients (63.5%) were receiving treatment for hypertension prior to their presentation. Atrial fibrillation was diagnosed in 4% of the patients prior to their presentation, and 4% more were diagnosed afterward. History of ischemic heart disease was present in 28.5% of the subjects. This study shows similar rates of risk factors to regionally published reports and provides an updated picture of stroke in Kuwait.