This document discusses stroke, including statistics on its worldwide prevalence, costs, and myths. It notes that one person suffers a stroke every two seconds worldwide. Stroke results in direct costs like medical bills and indirect costs like lost work. Admissions for stroke at CMC hospital have increased annually. The document aims to raise awareness of stroke signs and the importance of timely treatment. It dispels myths such as stroke only affecting the elderly or that nothing can be done to prevent

1. STROKE DAY, 29TH OCTOBER
2021
PROF. DR.MD. HASSANUZZAMAN
PROFESSOR & HEAD OF THE DEPARTMENT
NEUROLOGY DEPARTMENT
CMC

3. • As brain tissue and millions of neurons begin to
fade away, time could not be more precious.
• Our #Precioustime campaign aims to raise
awareness of stroke signs and the benefits of
timely access to emergency medical care.

5. Worldwide one person in
every two seconds suffers
from a stroke.
Every six seconds in the
world someone dies as a
result of stroke.

6. 25% of the population
worldwide will suffer from a
stroke in their lifetime

7. It is of utmost importance
to recognize the earliest
signs of stroke to promptly
transfer the patient to a
neurologist or a neurology
ward for the initiation of
most effective treatment.

8. STROKE BURDEN
Direct Costs:
• Hospital & Doctor Bills
• Rehab services
• Medication
Indirect Costs:
• Unemployment of the
patients
• Time lost from
unemployment by family
members
Stroke Burden:
• Direct costs
• Indirect costs
• Quality of life
• Emotional breakdown
• Caregiver burnout

9. STROKE ADMISSIONS IN NEUROLOGY WARD, CMCH
2012 2013 2014 2015 2016 2017 2018 2019 2020
4040
3008
5178
5575
6015
7000
7447
7700
5150
0
2000
4000
6000
8000
10000
12000
1 2 3 4 5 6 7 8 9
Chart Title
Year Number of patients

10. BREAKING THE MYTHS RELATED TO STROKE

11. MYTH #1: YOU CAN’T DO ANYTHING TO PREVENT STROKE.
• Up to 80 percent of strokes are preventable.
• Smart lifestyle choices that reducestroke risk factors
such as high blood pressure, high cholesterol and
diabetes all loweryour risk of having a stroke.

12. MYTH #2: THERE IS NO TREATMENT FOR STROKE.
• Thereare some extremelyeffective treatments for stroke, and the
sooner you seek medical treatment the better theywork.
• Clot removal —using a device to enterthe blocked arteryand remove
the blocking blood clot —is now the proven standard of carefor
stroke, with the most profound benefits. Tissue plasminogen (tPA) is a
clot-dissolving drug that can break up a clot blocking blood flow to the
brain.
• Even if the effective treatment to removeclot removal is unavailable,
reduce the recurrence of further stroke, minimizing the effectsof
risk factors & rehabilitation is also part of management of stroke
patients

13. MYTH #3: STROKE ONLY AFFECTS THE ELDERLY.
• A stroke can happen at any age, even in
babies.
• In fact, the average age of stroke patients
hasbeen getting younger for more than a
decade.
• Nearly 25 percent of strokes occur in people
younger than age 65.
• Younger people may dismiss symptoms more
easily, however, thinking that they are too
young to have a stroke.

14. MYTH #4: STROKE RECOVERY OCCURS FOR JUST THE
FIRST FEW MONTHS FOLLOWING STROKE.
Recovery from stroke isa lifelong
process. Researchers continue to find
new and better treatments to help the
brain repair itself after stroke.

15. MYTH #5: IF STROKE SYMPTOMS GO AWAY, THERE’S
NOTHING TO WORRY ABOUT.
• Transientischemic attacks(TIAs), sometimes calledmini
strokes,exhibittemporarystrokesymptoms.
• Theyarewarningsigns beforeastroke,andyoushould
alwayscontactyourdoctorif youexperience slurredspeech,
suddenweaknessin anarmor leg orfacialdrooping.
• Payingattentionto warning signsthat goawaymayhelp
prevent anactualstroke.

16. PREVENTION OF STROKE

18. WEIGHT & BMI

19. SMOKING
• 20 cigarettes a day: 6 times more
likely to have a stroke.
• The risk of ischemic stroke in
younger patients have been
significantly Increased due to
smoking

20. Blood Pressure

21. ALCOHOL
Excessive alcohol consumption is
related to over 1 million strokes
each year, globally

22. DIABETES MELLITUS
• 1 out of 5 patients suffering
from stroke is diabetic
• People with diabetes have
poorer outcomes of stroke.

34. STROKE UNIT

35. All current guideline for management of stroke recommend that
all patient with Acute stroke should be ideally managed in a
stroke unit. Considering the importance of having a stroke unit in
at least all tertiary level hospitals in Bangladesh ,we have decided
to act on a stroke unit in Chattogram Medical College and
Hospital for better clinical outcome for stroke patients.

39. NEUROLOGY WARD PROFILE
Numbers
Allotted Beds: 30
Current Number of beds: 90
Beds in stroke unit: 12
Professor: 01
Associate Professor: 03
Assistant Professor: 06
Registrar: 01
Assistant registrar: 00
IMO: 00
Post graduate Students-
MD Phase A:
MD Phase B:
MD 3rd part:
HMO:
01
05
04
01