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Stroke is a non-communicable disease that causes sudden global or focal neurological disorders. It is one of the major public causes of morbidity and mortality in low- and middle-income countries, including Ethiopia. Early identification of the determinants and prompt intervention remains critical to reduce morbidity and mortality from stroke.
The study aimed to identify determinants of stroke among adult hypertensive patients on follow up in Addis Ababa public hospitals, Ethiopia. Unmatched case-control study design was conducted among cases and controls study participants in Addis Ababa public hospitals from September 1β30, The cases were adult hypertensive patients who developed a stroke and the controls were adult hypertensive patients.
The study participants were selected by consecutive sampling technique. Pretested structured interviewer assisted questionnaire and checklist were used to collect data. Data were entered into Epi data version 3. Cigarette smoking, alcohol use, non-adherence to medication, uncontrolled systolic pressure, uncontrolled diastolic blood pressure, high low-density lipoprotein, and diabetic mellitus were determinants of stroke.
Providing health education about lifestyle changes and the consequences of hypertension at all follow-up is very important. Stroke or cerebrovascular accident is clinically defined as a focal or global neurological disorder due to impaired cerebral perfusion or spontaneous haemorrhage in the brain, lasting 24 hours or more onset and resulting in death with no apparent cause other than vascular origin [ 1 ]. There are two pathologic types of stroke namely; ischemic stroke is the most common type and results from decreased blood supply to brain tissue due to blood clot formation and haemorrhagic stroke; which occurs due to rupture of blood vessels in the brain [ 2 ].