Age and Delay Hospitalization is Most Effective Prognostic Tool for Determination of Outcome for Cerebrovascular Accident Patients
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 7
Abstract
Aims & Objectives: To determine the characteristic, clinical etiologies, type of stroke andhospital andpost discharge 6 month in follow up in patient admitted to medicine/ neurology services with acute stroke in M. Y. Hospital, Indore. To determine the disability related to stroke as estimated by modified Rankin score at the time of admission and 6 month follow up Material & Methods: This study was carried out in the Department of Medicine, MGM Medical College and M.Y. Hospital, Indore, from 2009 to 2013. We included 100 consecutive patients of strokes admitted to intensive care unit under medicine/neurology services. All patients or relative provided valid informed written consent for participation. After taking into considerations all the inclusion and exclusion criteria’s, the written consent to take part in study was obtained. Patient’s data was collected within 24 hours of the admission (including rapidly fatal stroke),1 during hospital stay and at the time of discharge using a standard Case Report Form. Data collected in the form of Baseline Characteristics, Stroke severity, Risk Factors for stroke, routine investigations like complete blood count, renal function test, serum electrolyte, lipid profile, ECG, neuroimaging like Computed Tomography (CT) Brain, Magnetic resonance imaging (MRI)may or may not accompanied with angiogram or venogram as per the patient clinical characteristic of patient. The treatment given to the patient was recorded. The improvement or deterioration in patient clinical condition was recorded and treatment was revised as per the requirement by the concern Unit. Conclusion- The patients of stroke with age> 60 years had significantly high mortality (p value = 0.042 (<0.05).The patients of stroke who reach the hospital within 3 hours had significantly less mortality (p value =0.5)
Authors and Affiliations
Dr. Vikas Asati
Keywords
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