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VOL. 3 1996 Issue 1 (January-June)

Permanent URI for this collectionhttps://repository.iau.edu.sa/handle/123456789/96

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Browsing VOL. 3 1996 Issue 1 (January-June) by Author "Kurashi, Nabil"

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    Survival after stroke in Saudis : A hospital based study
    (1996) Mohammed, EI Gamri; Nur, Musa; Kurashi, Nabil; Ibrahim, Ezzeldin; Ammar, Kawkab
    Background : Prognosis of stroke has been studied in various population. Factors adversely affecting short term survival include impaired consciousness, leg weakness and increasing age. Aim of the Study: In this study, the prognostic effects of age, sex, hypertension, diabetes mellitus and presentation in coma on the survival pattern of stroke patients presenting to a referral hospital, are reviewed. Methodology: The medical records of all patients hospitalized with definite stroke at King Fahd Specialist Hospital, Buraidah, for the period between June 1986 and June 1991, were reviewed. The Cranial CT Scans were also reviewed. Results : One hundred and seventy four patients, 106 males and 68 females, with a mean age of 64 years who had definite stroke were studied to estimate overall survival and the various risk factors influencing it. The case records and cranial CT scans were reviewed. At the time of analysis, just over 72% of the patients were, alive, with an overall mean survival after stroke of 120 weeks. Approximately 11% of patients died within two weeks of the stroke diagnosis. Conclusion : The factors adversely affecting survival in this study, were age above 60 (P<0.04), presentation in coma (P<0.003) and pre-existing heart disease (P<0.0009). There was no significant effect on survival due to sex, hypertension and/or diabetes mellitus.
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    Utilisation of health services by the primary health care centres-registered elderly people in Burraidah city, Saudi Arabia
    (1996) Al Mahdi, Mohammed; Elzubier, Ahmed; Kurashi, Nabil
    Objective: To assess the pattern of and factors associated with geriatrics' utilisation of health services. Design: A cross-sectional, study involving a random sample of 266 elderly subjects registered in the primary health care centres in Burraidah city, Saudi Arabia. Setting: The primary health care centres in Qassim Region, Saudi Arabia. Methods: Data was collected from PHC centres-registered elderly subjects at their homes. Information including utilisation of primary health centres, hospital admissions and duration of hospital stay were recorded. Results : The response rate was 96.7%. Twenty percent of the sample had not used any health services facility during the previous year. Two-thirds of subjects made visits to the primary health care centres, majority of them having made 6 visits or less. Significant factors positively associated with those visits were female, advancing age, and having a family. Three-quarters of the sample did not have hospital admissions. Significant factors positively associated with admissions were diabetes mellitus, hypertension, paralysis, advanced age, and living with a family. Conclusions: Geriatric health services utilisation by the study sample is affected by family ties and the high prevalence of chronic diseases. Subjects living alone or crippled by immobility may not be able to utilise available health services properly. Community based geriatrics services can help this vulnerable group.