Prediction of Outcome of 100 Acute Stroke Patients in a Tertiary Level Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Physicians are often facing the task of predicting the immediate and long-term outcome in stroke patients. Early predictor of mortality and poor outcome are crucial for planning the level of care and optimizing resource utilization. It is important efficiently and optimally to utilize resources. The use of early prognostic data provided by various scores in critically ill stroke patients remains unclear. The objective of the study was to determine validity of GCS for prediction of short-term mortality in acute stroke patients. Purposive sampling method was applied for the study. The patients who have fulfilled both inclusion and exclusion criteria, were enrolled in this study. The samples were collected by the investigator himself. Total GCS were labeled into three groups (I, II, III). Prognosis of patients of 3 groups was tested by chi square (x2 ) test. Overall 7-day and 28-day case fatality was 42% and 52% respectively. On the basis of CT scan finding, one-week case fatality of ICH and CI was 44.8% and 36.4% respectively. Four-week case fatality of ICH and CI was 56.7% and 42.4% respectively. One-week case fatality of 3 groups (I, II, III) was 84.6%, 24.1% and 6.3% respectively. Four-week case fatality of 3 groups was 89.7%, 44.8% and 12.5% respectively. In chi square (x2 ) test, the difference in mortality of 3 groups of was statistically significant (P<0.05) at one week and four weeks follow up. This study shows, GCS is a valuable tool for prediction of short-term mortality in acute stroke patients. The less the GCS score at the onset of acute stroke the more is mortality.
Authors and Affiliations
Dr. Md. Emdadul Haque, Dr. Md. Tofael Hossain Bhuiya, Dr. Khandoker Ataur Rahman, Dr. Sukumar Majumder, Dr. Proshanta Kumar Pondit
Keywords
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- EP ID EP597647
- DOI 10.9790/0853-1605081725.
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