Alotaibi Naser, Aldriweesh Mohammed A, Alhasson Muath A, Albdah Bayan A, Aldbas Abdulaziz A, Alluhidan Waleed A, Alsaif Sultan A, Almutairi Faisal M, Alskaini Mohammed A, Al Khathaami Ali M
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Front Neurol. 2022 Jul 22;13:925764. doi: 10.3389/fneur.2022.925764. eCollection 2022.
To study the clinical characteristics and outcomes of patients experiencing an ischemic stroke during Ramadan vs. non-Ramadan months in a tertiary academic center in an Islamic country.
We retrospectively reviewed all patients with ischemic stroke (IS) in Ramadan and non-Ramadan months for four consecutive years (February 2016-June 2019). All demographics, vascular risk factors, laboratory results, modified Rankin Scale (mRS) at admission and discharge, National Institute Stroke Scale (NIHSS), and in-hospital complication data were collected for all patients.
One thousand and 58 patients were included (non-Ramadan, = 960; during Ramadan, = 98). The mean age during Ramadan was 59 ± 13 years. Most non-Ramadan IS patients during Ramadan were male (68.5%; 57.1%, respectively). There was no statistical difference in vascular risk factors and medical history between the two groups. However, Ramadan patients had higher median NIHSS scores at discharge ( = 0.0045). In addition, more ICU admissions were noted among Ramadan patients ( = 0.009). In the gender-specific analysis for Ramadan patients, we found a statistically significant difference in smoking and urinary tract infection ( = 0.006, = 0.005, respectively).
Based on our results, there was no difference, in general, between patients with IS during Ramadan and non-Ramadan months. However, IS patients had higher NIHSS scores at discharge and more ICU admissions during Ramadan. Last, we suggest future studies with larger sample sizes, longer duration, and including all types of strokes.
在一个伊斯兰国家的三级学术中心，研究斋月期间与非斋月期间发生缺血性卒中患者的临床特征及预后。
我们回顾性分析了连续四年（2016年2月至2019年6月）在斋月和非斋月期间发生缺血性卒中（IS）的所有患者。收集了所有患者的人口统计学资料、血管危险因素、实验室检查结果、入院和出院时的改良Rankin量表（mRS）、美国国立卫生研究院卒中量表（NIHSS）以及院内并发症数据。
共纳入1058例患者（非斋月期间960例；斋月期间98例）。斋月期间患者的平均年龄为59±13岁。非斋月期间的IS患者大多为男性（分别为68.5%和57.1%）。两组患者的血管危险因素和病史无统计学差异。然而，斋月期间的患者出院时NIHSS评分中位数更高（P = 0.0045）。此外，斋月期间的患者入住重症监护病房的人数更多（P = 0.009）。在对斋月期间患者的性别特异性分析中，我们发现吸烟和尿路感染存在统计学显著差异（分别为P = 0.006和P = 0.005）。
根据我们的研究结果，总体而言，斋月期间和非斋月期间的IS患者之间没有差异。然而，斋月期间的IS患者出院时NIHSS评分更高，入住重症监护病房的人数更多。最后，我们建议未来进行样本量更大、持续时间更长且包括所有类型卒中的研究。
