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Research Article | Volume 13 Issue:2 (, 2023) | Pages 1445 - 1451
Mortality Rate of Haemorrhagic Stroke Higher Than National Average In Andaman & Nicobar Islands – Lack Of Neurosurgical Facility Likely Cause?
Under a Creative Commons license
Open Access
DOI : 10.5083/ejcm
Published
June 19, 2023
Abstract

Background: Haemorrhagic stroke is a major cause of mortality worldwide, however, patient outcomes rely heavily on available treatment modalities. There is an abject paucity of medical literature concerning determinants of patient outcome in Andaman & Nicobar Islands, which lie far removed from the Indian mainland, especially since surgical facilities available here are significantly less than those available in the Indian mainland. Aim: To examine clinical outcomes and course of treatment of patients with Haemorrhagic Stroke, within the acute-hospitalisation Department of Medicine, GB Pant Hospital, Port Blair, Andaman & Nicobar Islands.Methods:The study is prospective observational in nature, and follows patients admitted to the hospital in the months of July 2022 to September 2022.Results: Patients treated in GB Pant Hospital, Andaman & Nicobar Islands, were found to be at a statistically significant higher risk of mortality as compared to their counterparts in main-land India (p=0.01615). 85.72% patients, inspite of being advised Neurosurgical evaluation, could not avail it.Conclusion: The authors conclude that in-hospital mortality rate of Haemorrhagic stroke in Andaman & Nicobar Islands is higher than that in mainland India, and hypothesise that the cause for this is lack of Neurosurgical amenities in Andaman & Nicobar Islands.

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