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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v4i4.2359</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v4i4.2359</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Frequency of Stroke in Patients Presenting with Chronic Obstructive Pulmonary Disease</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Rauf</surname>
            <given-names>Sundus</given-names>
          </name>
          <email>sundusrauf77@gmail.com</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Mumtaz</surname>
            <given-names>Sami Ullah</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Iqtadar</surname>
            <given-names>Somia</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Niaz</surname>
            <given-names>Zafar</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Masud</surname>
            <given-names>Mohsin</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Haque</surname>
            <given-names>Israr Ul</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>North Medical Ward, King Edward Medical University, Mayo Hospital, Lahore, Pakistan</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Sundus Rauf (sundusrauf77@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2023-11-29">
        <day>29</day>
        <month>11</month>
        <year>2023</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2023</year>
      </pub-date>
      <volume>4</volume>
      <issue>4</issue>
      <fpage>293</fpage>
      <lpage>296</lpage>
      <history>
        <date date-type="received" iso-8601-date="2023-07-23">
          <day>23</day>
          <month>07</month>
          <year>2023</year>
        </date>
        <date date-type="accepted" iso-8601-date="2023-09-11">
          <day>11</day>
          <month>09</month>
          <year>2023</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2023 The Author(s)</copyright-statement>
        <copyright-year>2023</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v4i4.2359" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v4i4.2359.pdf" content-type="application/pdf"/>
      <abstract>
        <sec>
          <title>Objective</title>
          <p>To determine the frequency of stroke in patients presenting with COPD.</p>
        </sec>
        <sec>
          <title>Methodology</title>
          <p>This was a Cross sectional study conducted at North Medical Ward, Mayo Hospital, Lahore for Six months i.e. 28-7-2020 to 28-1-2021. Total 250 patients fulfilling the study criteria were enrolled. Then patients were evaluated by using spirometer and FEV1 and FVC were noted. Two groups were formed i.e. group I with COPD (FEV1/FVC</p>
        </sec>
        <sec>
          <title>Results</title>
          <p>The mean age of the patients was 60.21±19.32 years. There were 188 (75.2%) males and 62 (24.8%) females in this study. There were 72 (28.8%) patients with COPD and 178 (71.2%) without COPD. In this study there were 44 (17.6%) patients who were having stroke and 206 (82.4%) had no stroke. There was significant association between Stroke and COPD (p-value:</p>
        </sec>
        <sec>
          <title>Conclusion</title>
          <p>It was concluded that frequency of stroke among COPD patients was 36.1%. Age, Gender, BMI, Hypertension, Diabetes and smoking had a significant impact on stroke frequency among COPD patients. Keeping in mind these results stroke screening should be carried out periodically by the pulmonologist to reduce it risk.</p>
        </sec>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>Chronic Obstructive Pulmonary Disease</kwd>
        <kwd>Stroke</kwd>
        <kwd>FEV1</kwd>
        <kwd>FVC</kwd>
      </kwd-group>
    </article-meta>
  </front>
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  <back>
    <ref-list>
      <title>References</title>
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</article>
