Prediction of Early Outcome in Ischemic Stroke in Elderly

Document Type : Original Article

Authors

1 Department of Neurology. Faculty of Medicine, Ain Shams University, Cairo, Egypt.+

2 Galaa Military hospital, Egypt.

3 Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.+

4 Ain Shams Ageing Research Center.

Abstract

Abstract
Background: Determining the early functional outcome of ischemic stroke is important for physicians and patients Aim: To identify the predictors of early outcome after one week from onset of ischemic stroke
Methods: A total of 85 patients with first ever ischemic stroke were divided into 2 groups, favorable and unfavorable outcome, according to the 1-week modified Rankin scale (mRS). Favorable outcome was assumed if the score was zero to two, and unfavorable outcome if the score ranged from 3 to 6
Results: The variables associated with unfavorable outcome were high National Institute of Health Stroke Scale score on admission (P <0.001), high mRS score on admission (P <0.001), large volume of infarction (P <0.001), presence of intracranial stenosis (P=0.034), large artery atherosclerosis stroke, cardioembolic stroke and stroke of undetermined etiology (P = 0.003), high random blood sugar on admission (P = 0.008), and the occurrence of adverse events during admission period such as increase size of infarction, chest infection, symptomatic hemorrhagic transformation
Conclusions: The early outcome of ischemic stroke can be predicted by combining clinical and radiological data.

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