| Summary: | 碩士 === 中臺科技大學 === 醫療暨健康產業管理系碩士班 === 106 === Purpose: Stroke is one of the most important health problem in the world. Stroke is leading cause of death and disability in the world (Dubow & Fink, 2011). The first aim of the present study was to evaluate the rate of recurrent stroke events in the secondary general hospital in Mongolia. The second aim of the present study is to determine the most effective contributor factors for recurrent stroke.
Method: The design of this study is a retrospective study with secondary data analysis. A total of 310 first-ever and recurrent stroke patients were enrolled in this study from the 1st of January 2015 to 31st of December 2017 in Baynzurkh district's hospital which is the secondary hospital of Mongolia. The descriptive statistics and logistic regression, chi-square testing were used to analyze the influencing factors that affect the recurrent stroke.
Results: Recurrent stroke occurred in 112 patients (36%). Furthermore, this study demonstrated the types of recurrent stroke that intracerebral hemorrhage (55%) was higher than ischemic stroke (45%). The rate among male patients with recurrent stroke (69%) were higher than female patients (31%) with recurrent stroke. Logistic regression result showed that recurrent stroke was predicted by cerebral small vessel disease (OR= 6.095, CI 95% = 2.153 to 17.257), atrial fibrillation (OR= 10.518, CI 95% = 3.944 to 28.053), hypertension period (OR= 48.242, CI 95% = 4.749 to 490.110), hypertension stage (OR= 3.393, CI 95% = 1.125 to 10.235), length of smoking period (OR= 5.011, CI 95% = 1.33 to 22.161) and alcohol consumption (OR= 28.879, CI 95% = 4.740 to 175.960). In addition to commonly recognized individual risk factors, hypertension stages, length of hypertension period and alcohol consumption play a signicant role for recurrent stroke.
Conclusions: Compared with the world epidemiology of recurrent stroke, the rate of recurrent stroke in this study is higher. In according to these risk factors, we recommend that lifestyle changing will be more useful to prevent recurrent stroke such as quitting smoke, stopping drinking and doing more exercise. Furthermore, when doing preventive care department of ministry of health , we could strenghten the health promotion and intervention on the risk groups ( such as male, older patients who had occurred first-ever stroke prevent cardiovascular disease and life-style changing) in the future.
Keywords: Recurrent stroke, Risk factors.
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