Risk factors and types of recurrent stroke: a Saudi hospital based study.
Tarek Mohamed El-Gohary, Abdullah M Alshenqiti, Sameh R Ibrahim and 3 others
PMID 31645798WHAT IT FOUND
In 112 Saudi patients with recurrent stroke, hypertension was present in 90.2% and diabetes in 62.5%.
Ischaemic heart disease was significantly more common in ischaemic strokes than in brain bleeds. These findings support rigorous vascular risk monitoring for this population.
Key findings
01Hypertension was the most prevalent risk factor, found in 90.2% of patients, followed by diabetes in 62.5%.
02Ischaemic heart disease was significantly more common in patients with ischaemic recurrent stroke compared to those with intracerebral haemorrhage.
03A high proportion of patients had multiple coexisting risk factors, such as hypertension combined with diabetes or ischaemic heart disease.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The study population was small (112 patients), which limits the generalisability of the findings. The study was conducted in a single city in Saudi Arabia, so results may not apply to other populations or regions with different lifestyle and genetic risk profiles. The authors noted a lack of comparable studies using similar methodologies for recurrent stroke in this specific context, making it difficult to benchmark these findings.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not assume these risk factor prevalences apply to all stroke populations. This study focused exclusively on recurrent strokes in a specific Saudi city, excluding first-time strokes and visitors, so the high rates of hypertension and diabetes reflect this specific subgroup rather than general stroke epidemiology.