Frequency of Hypoalbuminemia and In-Hospital Mortality in Acute Ischemic Stroke Patients Presenting at a Tertiary Care Hospital, Hyderabad

Objectives: To determine the frequency and impact of hyponatermia on outcome in patients of acute ischemic stroke admitted to a Tertiary Care Hospital, Karachi. Study Design: Prospective, cross-sectional, observational study. Setting: Department of Medicine, Abbasi Shaheed Hospital, Karachi. Period: January 2015 to May 2018. Material and Methods: A total of 110 patients of both gender presented with acute ischemic stroke and hyponatermia (2 consecutive serum sodium levels (< 135 mEq/L). Diagnosis of syndrome of inappropriate secretion of antidiuretic hormone (SIADH) and cerebral salt wasting (CSW) was based on predefined criteria. Mortality was considered in terms of modified Rankin Scale with score of 6 within four weeks of admission. Data was analyzed by using SPSS Version 20. Result: Out of 110 acute ischemic stroke patients, 66 (60%) were male and 44 (40%) were female. The mean age was 61.45 ± 11.8 years. Mean serum sodium level was 128.4 ± 6.07. Older ages are associated with high mortality rate of 20%. Moderate (29%) and severe (11%) hyponatremia was associated with 21% and 33% mortality respectively. Overall mortality in patients with hyponatremia was 14.5%. Conclusion: Mortality rates are higher in acute ischemic stroke patients presented with moderate to severe hyponatremia.

Download Full-text

Admission hyperglycemia an independent predictor of outcome in acute ischemic stroke: A longitudinal study from a tertiary care hospital in South India

Nigerian Journal of Clinical Practice ◽

10.4103/1119-3077.206368 ◽

2017 ◽

Vol 20 (5) ◽

pp. 573 ◽

Cited By ~ 5

Author(s):

MP Reddy ◽

SK Marulaiah ◽

M Basavegowda ◽

PKH Ramaswamy ◽

LS Adarsh

Keyword(s):

Ischemic Stroke ◽

Longitudinal Study ◽

Acute Ischemic Stroke ◽

South India ◽

Tertiary Care Hospital ◽

Independent Predictor ◽

Tertiary Care ◽

Care Hospital

Download Full-text

Etiology and functional outcome by gender in acute ischemic stroke in a tertiary care hospital: clinica Alemana stroke registry: 1997-2014

Journal of the Neurological Sciences ◽

10.1016/j.jns.2015.08.1329 ◽

2015 ◽

Vol 357 ◽

pp. e371-e372

Author(s):

V. Diaz ◽

A. Hoppe ◽

A. Brunser ◽

E. Sujima ◽

V. Olavarria ◽

...

Keyword(s):

Ischemic Stroke ◽

Acute Ischemic Stroke ◽

Functional Outcome ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Stroke Registry

Download Full-text

Prevalence of Intracranial Artery Stenosis in Patients with Acute Ischemic Stroke in a Tertiary Care Hospital of China

Journal of Nepal Medical Association ◽

10.31729/jnma.5201 ◽

2020 ◽

Vol 58 (229) ◽

Author(s):

Sandip Kumar Jaiswal ◽

Yan Fuling ◽

Min Li

Keyword(s):

Ischemic Stroke ◽

Acute Ischemic Stroke ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Posterior Circulation ◽

Artery Stenosis ◽

Care Hospital ◽

Intracranial Artery ◽

Anterior Circulation ◽

Intracranial Artery Stenosis

Introduction: Intracranial artery stenosis is the most common cause of acute ischemic stroke, especially among people in Asia. About its epidemiology, however little is understood. The goal of our research is to establish the prevalence of intracranial artery stenosis in patients with acute ischemic stroke in a tertiary care hospital. Methods: A descriptive cross-sectional study was done in 1006 acute ischemic stroke patients at Affiliated Zhongda Hospital, School of Medicine, Southeast University China from May 2018 to May 2019. Ethical approval was taken from the Ethical review committee of the institution. A convenient sampling method was done. Intracranial artery stenosis was diagnosed when evidence of acute ischemic stroke was found in the territory of approximately 2 50% stenosis identified by Transcranial Doppler ultrasound and confirmed by magnetic resonance angiography or computed tomography. Statistical analysis was done using the Statistical Package for the Social Sciences version 20. Results: The prevalence of intracranial artery stenosis was found in 331 (32.90%) patients at 95% Confidence interval (0.24-0.42%). Among 331 cases the anterior circulation artery stenosis was present on 201 (19.98%) patients, followed by posterior circulation artery stenosis on 80 (7.95%) patients, then anterior plus posterior circulation artery stenosis on 50 (4.97%) patients. Conclusions: Intracranial artery stenosis is one of the most causes of acute ischemic stroke in China. The proportion of anterior circulation artery stenosis was higher than that in the posterior circulation.

Download Full-text