scholarly journals Functional Outcome of Stroke Patients, Correlation with Scandinavian Stroke Scale

2012 ◽  
Vol 23 (2) ◽  
pp. 53-56
Author(s):  
Keshav Dev
Keyword(s):  
Metabolic Syndrome ◽  
Risk Factor ◽  
Prospective Study ◽  
Functional Outcome ◽  
Barthel Index ◽  
Functional Disability ◽  
Stroke Patients ◽  
West Part ◽  
Factor Ratio ◽  
Stroke In Young

Abstract Present hospital based prospective study was conducted in Sawai Man Singh Hospital in Jaipur district of Rajasthan state (west part of India) during the year 2008-2009 to know functional outcome of stroke correlation with Scandinavian stroke scale score. Assessment severity of stroke on Scandinavian stroke scale (SSS) score and functional disability on Barthel Index (BI) were neasured. Out of 200 included cases 11 were dropped out and it was found that incidence of stroke in young individual is significantly less than older individual. Hypertension was most important risk factor. Ratio of R: U=1.38: 1, M: F=1.74: 1 and infarction: hemorrhage= 1.32: 1. Metabolic syndrome was a nonsignificant risk factor for women as well as men (p>0.005). The correlation between the SSS and on functionally outcome was significant (p<0.005).

scholarly journals Prevalence and outcome of young stroke patients with middle cerebral artery stenosis

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wenjuan Xu ◽  
Xiaoyu Zhang ◽  
Huan Chen ◽  
Zhangning Zhao ◽  
Meijia Zhu
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Risk Factor ◽  
Factor Score ◽  
Unfavorable Outcome ◽  
Stroke Patients ◽  
Young Stroke ◽  
Stroke In Young Adults ◽  
Risk Factor Score ◽  
Stroke In Young

Abstract Background Etiologies of acute ischemic stroke in young adults are heterogeneous. Middle cerebral artery (MCA) stenosis is a common finding in Asians which may be an important cause of stroke in young adults. However, studies of stroke in young Asian populations are rare. Our study was to investigate the prevalence and outcome of young stroke patients with MCA stenosis in Chinese populations. Methods Young patients with MCA territory infarction between January 2013 and September 2018 were retrospectively recruited. Subjects were defined as stenosis group (MCA stenosis ≥50%) and no-stenosis group (MCA stenosis<50% or no stenosis) by their MCA stenosis. For patients in stenosis group, they were categorized as uni-MCA stenosis subgroup and multiple stenosis subgroup. Demographic data, risk factors, imaging feature and complications were compared between groups. Prevalence of MCA stenosis and risk factor score (score ≥ 2 or 3) in different age groups were investigated. Modified Rankin Scale (mRS) was used for evaluating functional outcome at discharge (unfavorable outcome: 3–6). Binary logistic regression was performed to determine independent risk factors of unfavorable outcome. Results Two hundred forty-nine young stroke patients were included in our study and 110 (44.2%) patients were defined as stenosis group. 55 (50%) patients were categorized as uni-MCA stenosis subgroup and 55 (50%) were multiple stenosis subgroup. The most common traditional vascular risk factors included hypertension, hyperlipemia, smoking, hyperhomocysteinemia and alcohol consumption. Prevalence of risk factor score ≥ 2 or 3 increased with age, but not incidence of MCA stenosis. By TOAST classification, the most common etiologies were large-artery atherosclerosis (41.0%) and small vessel disease (33.7%). Compared with no-stenosis group, patients in stenosis group were more likely to have large territorial infarct, develop complications and have unfavorable outcome. No significant difference was found between patients in uni-MCA stenosis and multiple stenosis subgroups except history of stroke/TIA, risk factor score ≥ 3 and silent infarct. By logistic regression, hypertension (OR = 3.561; 95%CI, 1.494 to 8.492; p = 0.004), NIHSS scores at admission (OR = 1.438; 95%CI, 1.276 to 1.620; p = 0,000) and infarct size (p = 0.015) independently predicted unfavorable outcome. Conclusions Forty-four point two percent young Chinese adults with MCA territory infarction had MCA stenosis. Prevalence of MCA stenosis did not increase with age. Patients with MCA stenosis had worse clinical outcome, however, only hypertension, NIHSS scores at admission and infarct size were independent predictors.

scholarly journals Frequency of Metabolic Syndrome among Stroke Patients

1970 ◽  
Vol 9 (1) ◽  
pp. 37-41
Author(s):  
Ahmedul Kabir ◽  
MM Sadeka ◽  
MJ Ahmed ◽  
E Kabir ◽  
MA Kahhar
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Metabolic Syndrome ◽  
Risk Factor ◽  
Cardiovascular Risk ◽  
Stroke Patients ◽  
Medical Unit ◽  
Economic Class ◽  
Future Researcher ◽  
Relevant Field

Background: Metabolic syndrome is a cluster of cardiovascular risk factor and is strongly associated with CVD. This study had been carried out at Mitford Hospital with a view to get a profile of the stroke patients and to obtain the proportion of the patients having metabolic syndrome. Patients & methods: In the observational study a total of fifty patients of stroke (confirmed by CT Scan) were studied at medical unit of Mitford hospital from December, 2005 to April, 2006. Results: Among the fifty stroke patients, about half (48%) were diagnosed as metabolic syndrome and there was slight female preponderance among them. Majority of the patients (79%) were from middle socio-economic class. Investigations regarding hypertension, diabetes mellitus and dyslipidaemia revealed the percentages of these risk factors along with gender distributions among the patients with stroke. Conclusion: Stage two hypertension and diabetes were the major risk factors causing stroke. This study would provide baseline line information for the future researcher in the relevant field.   DOI = 10.3329/jom.v9i1.1424 J MEDICINE 2008; 9 : 37-41

scholarly journals A PROSPECTIVE STUDY ON CLINICAL PROFILE OF STROKE PATIENTS ATTENDING IN A TERTIARY CARE HOSPITAL OF GUWAHATI, ASSAM.

2020 ◽  
pp. 1-4
Author(s):  
Dhrubajyoti Choudhury* ◽  
N. C. Borah ◽  
P. S. Deb ◽  
Amit Ranjan Baruah ◽  
Kinzang Wangda ◽  
...  
Keyword(s):  
Risk Factor ◽  
Prospective Study ◽  
Cerebrovascular Disease ◽  
Tertiary Care ◽  
Common Type ◽  
Care Hospital ◽  
Medical Sciences ◽  
Stroke Patients ◽  
Common Risk Factor ◽  
A Prospective Study

Cerebrovascular disease include most common devastating disorders :ischaemic stroke and haemorrhagic stroke.The incidence of cerebrovascular disease increases with age and the number of strokes is projected to increase as the elderly population grows.A stroke is the second leading cause of death worldwide. Some of the Indian studies have shown a stroke prevalence of 471.58/100000 population. OBJECTIVE:To study the clinical presentation, risk factors,neurological presentation,pattern of brain strokes,areas of brain affected as per CT/MRI Brain scan findings in a newly admitted patients in GNRC Institute of Medical Sciences, North Guwahati,Assam. METHODS:This is a prospective study included all new patients with stroke admitted in ICU and Ward under Neurology Department of GNRC institute of Medical Sciences ,North Guwahati,Assam,from 1st August,2018 to 31st July ,2019. RESULTS: The cerebrovascular strokes are more common in males (64.4%) than females (35.6%). Most common age group was 58-67 years (28.29%).Most common clinical feature was hemiplegia (71.21%).Most common risk factor was Hypertension (89.51%) followed by diabetes mellitus(51.70%) . Most common type of stroke was haemorrhagic (60.24%) followed by ischaemic (39.75%). In stroke infarct most common involved areas were parietal (13.65%). In hemorrhagic stroke most common site was basal ganglia (21.95%) followed by thalamus (10.97%). CONCLUSION: Males were more commonly affected with cerebrovascular accident with hypertension was the most common risk factor among the stroke patients and most common type of stroke was haemorrhagic.

Abstract W P128: The Effect of Obesity on K-Modified Barthel Index at 6 Months after Stroke: A Prospective Multicenter Study

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Shin Yi Jang ◽  
Yun-Hee Kim ◽  
Min Kyun Sohn ◽  
Jongmin Lee ◽  
Deog Young Kim ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Functional Outcome ◽  
Barthel Index ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Stroke Onset ◽  
Obese Group ◽  
Stroke Patients ◽  
Control And Prevention ◽  
The Mean

Introduction: Previously, association between body mass index (BMI) and K-Modified Barthel Index (KMBI) score was reported. However, few studies investigated the value of obesity as a predictive factor of 6 months functional outcome after stroke. Aims: The aim of this study is to examine whether BMI predicts the 6-month KMBI after stroke onset with adjustment for cardiovascular disease risk factors socioeconomic position and health behavior factors in stroke patients. Methods: This is an interim report of the Korean Stroke Cohort for Functioning and Rehabilitation (KosCo). The sample included 1,299 stroke patients, both ischemic and hemorrhagic, aged 18-92 years. FIM score was assessed at 6 months after stroke onset. Subjects were classified into three groups based on their baseline BMI categories at admission: normal (18.5 ≤ BMI < 23), overweight (23 ≤ BMI < 25), or obese (BMI ≥ 25) groups. Results: The mean age was 64.1 (±12.8) years. The distribution of overweight and obese groups was 28.5 % and 36.3 %, respectively. The mean 6-month KMBI was 85.6 (±27.6) and 88.0 (±26.0), respectively. The 6-month KMBI significantly increased in obese group compared to the normal BMI group after adjustment for confounding factors. In the ischemic stroke, the 6-month KMBI was increased in the obese group (p<0.05), but not in the hemorrhagic stroke. Conclusions: This hospital-based cohort study showed that obesity measured by BMI may predict good 6 months functional outcome, especially, for the ischemic stroke patients (Supported by Korea Centers for Disease Control and Prevention (2013E3301701)).

Disability assessment in stroke: Relationship among the pictorial-based Longshi Scale, the Barthel Index, and the modified Rankin Scale

2021 ◽  
pp. 026921552097592
Author(s):  
Yan Gao ◽  
Yulong Wang ◽  
Dongxia Li ◽  
Jingpu Zhao ◽  
Zhiyuan Dong ◽  
...  
Keyword(s):  
Prospective Study ◽  
Barthel Index ◽  
Daily Living ◽  
Inpatient Rehabilitation ◽  
Teaching Hospitals ◽  
Median Frequency ◽  
Disability Assessment ◽  
Modified Rankin Scale ◽  
Stroke Patients ◽  
Convenience Sampling

Objective: To explore the correlations among the Longshi Scale, the Barthel Index, and the modified Rankin Scale and the differentiate ability of the Longshi Scale and the modified Rankin Scale to Barthel Index scores. Design: Prospective study. Setting: The inpatient rehabilitation units of three teaching hospitals in China. Subjects: A total of 343 stroke inpatients were recruited through convenience sampling. Main measures: Pictorial-based Longshi Scale, Barthel Index, and modified Rankin Scale. Results: The Longshi Scale was highly and moderately correlated with the Barthel Index and modified Rankin Scale, respectively. The median frequency distribution of the Barthel Index was slightly overlapped between Longshi Scale grades 2 and 3 but was considerably overlapped among modified Rankin Scale grades 1, 2, and 3. The Kruskal-Wallis and multiple comparison tests showed that, among the modified Rankin Scale grades, the median Barthel Index scores did not differentiate between grades 1 and 2 ( χ2 = 20.643, P = 1.000), between grades 1 and 3 ( χ2 = 60.404, P = 0.070), and between grades 2 and 3 ( χ2 = 39.760, P = 0.232). Among the Longshi Scale grades, the median Barthel Index scores did not differentiate between grades 2 and 3 ( χ2 = 48.778, P = 1.000), between grades 3 and 4 ( χ2 = 57.094, P = 1.000), and between grades 5 and 6 ( χ2 = 24.709, P = 1.000). Conclusion: Using the Barthel Index as reference, the proposed Longshi Scale has better ability than the modified Rankin Scale in differentiating stroke patients’ disability, especially for those with higher level of activities of daily living.

Poststroke Infections are an Independent Risk Factor for Poor Functional Outcome after Three-months in Thrombolysed Stroke Patients

2012 ◽  
Vol 8 (8) ◽  
pp. 639-644 ◽  
Author(s):  
Andrea Rocco ◽  
Geraldine Fam ◽  
Marek Sykora ◽  
Jennifer Diedler ◽  
Simon Nagel ◽  
...  
Keyword(s):  
Risk Factor ◽  
Functional Outcome ◽  
Independent Risk Factor ◽  
Stroke Patients ◽  
Poor Functional Outcome

Abstract 3472: Neurofluctuations in Patients with Subcortical Ischemic Stroke (NISS)

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
William J Hicks ◽  
Indrani Acosta ◽  
Susan Alderman ◽  
Hui Peng ◽  
Renganayaki Pandurengan ◽  
...  
Keyword(s):  
Natural History ◽  
Prospective Study ◽  
Functional Outcome ◽  
Standard Of Care ◽  
Bed Rest ◽  
Partial Recovery ◽  
Motor Score ◽  
Stroke Patients ◽  
History Of ◽  
A Prospective Study

Objective: Patients with progressive strokes during hospitalization have increased morbidity and mortality as well as worsened functional outcome compared with those who remain stable. While the reported rate of fluctuations in subcortical stroke patients has ranged between 20 to 70%, there are no prospective “natural history” data regarding in-hospital deterioration, neurofluctuation, and reversion back to baseline. The purpose of this prospective study was to capture the incidence of fluctuations and their outcome in subcortical stroke patients receiving standard of care (antiplatelet drugs, intravenous fluids, and bed rest). Methods: We conducted a prospective study of all patients with subcortical strokes identified based on their clinical exam and routine imaging studies. Informed consent was obtained and demographics collected. An NIH stroke scale (NIHSS) was performed daily and whenever symptoms worsened (defined as a motor score increase of at least 1 on the NIHSS). Modified Rankin scales (mRS) were obtained at 90 days. Results: 90 patients were prospectively enrolled. Analysis is shown in the corresponding tables. Thirty eight percent (34/90) of patients deteriorated; 41% of those patients fully recovered back to their admission NIHSS and 32% experienced partial recovery. There were no differences in age, gender, admission NIHSS, or ethnicity between those who deteriorated and those who remained stable. Deteriorating patients were more likely to have received tPA, have a higher discharge NIHSS, and a higher 90 day mRS. Three quarters of the patients had deterioration within 24 hours of symptom onset. Of the deteriorating patients who initially received tPA, all worsened within 24 hours. Patients who deteriorated had a significantly higher incidence of mRS 3-6 compared to patients who remained stable. There were no associations between age, gender, or ethnicity with neurological recovery back to admission NIHSS in those patients who initially deteriorated. Conclusion: This is the first prospective study to characterize the natural history of subcortical stroke fluctuation during hospitalization. Nearly 40% of all subcortical strokes patients deteriorated neurologically, but nearly 40% of those patients who deteriorated returned to their pre-deterioration status. Deterioration was associated with worse functional outcome at 90 days. Our study establishes a natural history template for designing future studies and identifies a subpopulation of patients for which new in-hospital therapies are needed to treat neurological deterioration in subcortical stroke.

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