Annals of Indian Academy of Neurology
ORIGINAL ARTICLE
Year
: 2007  |  Volume : 10  |  Issue : 3  |  Page : 154--159

Surveillance of stroke: WHO STEP-wise approach: A Chennai stroke unit report


Deepak Arjundas1, Uma Pandiyan1, G Arjundas2, Baux Henry3 
1 Department of Neurology, Vijaya Health Center, Chennai, India
2 Mercury Nursing Home, Chennai, India
3 Stroke Unit, Vijaya Health Center, Chennai, India

Correspondence Address:
Uma Pandiyan
Mercury Nursing Home, 36, Pantheon Road Egmore, Chennai - 600 008
India

Stroke is potentially the most devastating consequence of vascular disease, causing long-term disability and placing high medical, emotional, and financial burdens on the patient. WHO STEPS stroke surveillance study, provided the framework for our study of stroke patients in Chennai. In our center, we followed only the STEP 1 study and only hospital-based stroke data were collected. STEP 2 and 3 involved study of strokes in the community. We found that 78% of our patients were in the 6th to 8th decades of life; 72% had hypertension, either alone or in combination with other risk factors; 4 weeks after the stroke, 51% of our patients were independent with regard to mobility and the activities of daily living, while 14% had severe disability. We found a mortality rate of 14%. We concluded that the incidence of stroke in the community can be decreased further by effective risk factor modification. The admission delay needs to be shortened from >48 h to less than 6 h. Our data also gave us fresh information about the recovery of motor function in stroke survivors at 28 days after the stroke.


How to cite this article:
Arjundas D, Pandiyan U, Arjundas G, Henry B. Surveillance of stroke: WHO STEP-wise approach: A Chennai stroke unit report.Ann Indian Acad Neurol 2007;10:154-159


How to cite this URL:
Arjundas D, Pandiyan U, Arjundas G, Henry B. Surveillance of stroke: WHO STEP-wise approach: A Chennai stroke unit report. Ann Indian Acad Neurol [serial online] 2007 [cited 2020 Sep 18 ];10:154-159
Available from: http://www.annalsofian.org/article.asp?issn=0972-2327;year=2007;volume=10;issue=3;spage=154;epage=159;aulast=Arjundas;type=0