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20. Frequency and Awareness of Cognitive Impairment in Stroke Patients of Karachi

Irfan Ashraf1, Tafazzul H Zaidi2 and Kiran Mehtab2


Objective: To assess the frequency of cognitive impairment in stroke patients. To assess the awareness of cognitive impairment in different type of stroke patients.

Study Design: Cross sectional study

Place and Duration of Study: This study was conducted at the Department of Community Medicine, SMC, JSMU Karachi from March to August 2018.

Materials and Methods: A Cross-sectional study was conducted over the conscious diagnosed patients of stroke above 12 years of age on a sample of 100 individuals. The sample was taken through non-probability purposive sampling from the patients who visited or admitted to Jinnah Post-graduate Medical Centre, Karachi. A structured questionnaire was then developed. Pilot study was conducted to assess the authenticity of the questionnaire. Data was collected through structured questionnaire. An informed verbal consent was taken from the patients. The data was then entered and analyzed using SPSS version 20, with 95% confidence interval and 0.05 p-values were taken as statistically significant.

Results: A total of 100 patients of stroke took part in the study, out of which 70% were males and 30% were females. In Females 60.0% had unsatisfied cognition, (54%) of the patients fall in the age group of 40 to 64 Years out of which 55.6% had unsatisfied cognition, the patients who fall in the age group between 13 to 39 had satisfactory cognition indicating  significant difference in the level of cognition among different age groups. In Diabetic patients 58.5% had unsatisfied cognition, patients who had multiple attacks of stroke, 55.8% had unsatisfied cognition, Patients who had stroke attack with symptom duration less than 24 Hours (TIA) 50% had unsatisfied cognition,  In patients who had stroke attack with symptom duration more than 24 Hours,50% had unsatisfied cognition. In Hypertensive and non- hypertensive patients, both had 50% unsatisfied cognition.

Conclusion: The study concluded that more than half of the patients of stroke have unsatisfied cognition (i.e., cognitively impaired). There is a need to create awareness among public about stroke and its outcomes.

Key Words: Stroke, Cognition, Impairment, Frequency, Awareness

Citation of articles: Zaidi TH, Ashraf I, Mehtab K. Frequency and Awareness of Cognitive Impairment in Stroke Patients of Karachi. Med Forum 2018;29(10):81-84.