Akut İskemik İnmede Mortalite ve Morbidite Belirteçleri

AKSOY, Dürdane; İNANIR, Ahmet; AYAN, Murat; ÇEVİK, Betül; KURT, Semiha; KARAER ÜNALDI, Hatice
March 2013
Archives of Neuropsychiatry / Noropsikiatri Arsivi;Mar2013, Vol. 50 Issue 1, p40
Academic Journal
Objectives: Stroke, despite improvements in treatment is still a serious cause ofmortality and morbidity. The most important prognostic factors of stroke are known as the neurological condition of the patient in first hours, the size of the lesion that imaging revealed, and the age. In this study, prognostic indicators such as erythrocyte sedimentation rate (ESR), folate, vitamin B12 (vit B12), mean corpuscular volume (MCV), white blood cell (WBC) count, hematocrit, glucose were investigated to help determining the course of the treatment.Method: In this retrospective study 272 ischemic stroke patients admitted to our emergency department and neurology clinic within the first 24 hours were included. Early laboratory findings were recorded. The patients were categorized into two groups as good and poor prognosis, based on their modified rankin scores at the time of hospital discharge. Patients' ages, laboratory results, length of the hospitalization, and medical histories were compared.Results: Hypertension was found to be the highest ranked stroke risk factor among the patients. Statistically significant difference was detected on age, MCV, folic acid,WBC, and ESR between groups with good and poor prognosis. Logistic regression analysis revealed that advanced age, high MCV and low folate are associated with poor prognosis.Discussion: Advanced age is the most important predictor of poor outcome. High MCV and low folate levels are also contribute to the mortality and morbidity rates.Both parameters are related to hyperhomocysteinemia, which is one of the riskfactors of stroke. Therefore, prospective studies investigating the effect ofhomocysteine, folic acid, vit B12, MCV on the prognosis of stroke are required.(Archives of Neuropsychiatry 2013; 50: 40-44)


Related Articles

  • Influence of Socioeconomic Status on In-Hospital Mortality and Morbidity after Stroke in India: Retrospective Hospital-Based Cohort Study. Yadav, Ravi; Prasad, Kameshwar; Padma, Vasantha M.; Kumar Srivastava, Achal; Tripathi, Manjari; Bhatia, Rohit // Indian Journal of Community Medicine;Jan-Mar2013, Vol. 38 Issue 1, p39 

    The article presents a retrospective study which determined an association between socioeconomic status (SES) and in-hospital outcome in Indian patients with stroke. The study assessed the clinical and neurological variables such as the score on Glasgow coma scale (GCS), Barthel's index (BI) and...

  • Acromioclavicular joint arthrosis in persons with spinal cord injury and able-bodied persons. Eriks-Hoogland, I; Engisch, R; Brinkhof, M W G; van Drongelen, S // Spinal Cord;Jan2013, Vol. 51 Issue 1, p59 

    Objective:To compare the prevalence, severity and risk of acromioclavicular (AC) joint arthrosis in persons presenting with shoulder pain between a spinal cord injury (SCI) and able-bodied population. In the SCI population, prevalence and severity of AC joint arthrosis were examined with respect...

  • Severity of Obstructive Sleep Apnea in Patients With and Without Cardiovascular-Related Diseases. Simon, Rosalind; Chirakalwasan, Naricha; Teerapraipruk, Busarakum; Hirunwiwatkul, Prakobkiat; Jaimchariyatam, Nattapong; Desudchit, Tayard; Charakorn, Natamon; Wanlapakorn, Chaisiri // Respiratory Care;Sep2012, Vol. 57 Issue 9, p1476 

    BACKGROUND: Previous studies have often investigated the association of obstructive sleep apnea (OSA) with cardiovascular morbidity and mortality, but the possibility of reverse causation has not been clearly defined. OBJECTIVE: To examine if the presence of any of the cardiovascular-related...

  • The Impact of Arterial Hypertension on Polytrauma and Traumatic Brain Injury. Sellmann, Timur; Miersch, Daniel; Kienbaum, Peter; Flohé, Sascha; Schneppendahl, Johannes; Lefering, Rolf // Deutsches Aerzteblatt International;Dec2012, Vol. 109 Issue 49, p849 

    The article focuses on a study which aims to investigate relationship between pre-hospital arterial hypertension (pAHT) and hospital mortality of trauma patients. It informs that mortality rate is higher in trauma patients with traumatic brain injury (TBI) and pre-hospital arterial hypertension...

  • Dysthymia, major depression, and double depression among individuals receiving substance abuse treatment. Diaz, Naelys; Horton, Eloise Gail; Weiner, Michael // Health (1949-4998);Dec2012, Vol. 4 Issue 12, p1229 

    The purpose of this study was to compare dysthymia, double depression (DD), and major depressive disorder (MDD) among individuals receiving substance abuse treatment on individual characteristics and mental health factors including age, gender, alcohol and drug dependence, number of previous...

  • Evaluation of living kidney donors: variables that affect donation. Moore, Deonna R.; Feurer, Irene D.; Zaydfudim, Victor; Hoy, Haley; Zavala, Edward Y.; Shaffer, David; Schaefer, Heidi; Moore, Derek E. // Progress in Transplantation;Dec2012, Vol. 22 Issue 4, p385 

    Approximately 10 000 deceased donor organs are available yearly for 85 000 US patients awaiting kidney transplant. Living kidney donation is essential to close this gap and offers better survival rates. However, nationally, 80% of potential donors evaluated fail to donate. Nurse coordinators who...

  • Effect of Statins on the prognosis of cerebral ischemia. Masood, Sa; Abolhasani, J; Moravveji, Sa; Rafezi, S // Feyz Journal of Kashan University of Medical Sciences;2013, Vol. 17 Issue 1, p25 

    Background: Statins may be effective in reducing the risk of cerebral ischemia. This study aimed to examine the effect of Statins on the short-term prognosis of cerebral ischemia. Materials and Methods: This cohort study was performed on 230 patients, whose cerebral ischemia had been confirmed...

  • Incidence and Risk Factors for Medical Complications and 30-Day End points After Carotid Artery Stenting. Wang, Jun; Si, Yanfang; Li, Sheng; Cao, Xiangyu; Liu, Xinfeng; Du, Zhihua; Ge, Aili; Zhang, Alan; Li, Baomin // Vascular & Endovascular Surgery;Jan2014, Vol. 48 Issue 1, p38 

    With the extensive use of carotid artery stenting (CAS) surgeries, scholars are paying more attention to the safety and efficiency of CAS. Our study aims to analyze the clinical efficiency, safety, and technical feasibility of CAS surgery in the treatment of carotid artery stenosis. A total of...

  • Pure-Tone Hearing Asymmetry: A Logistic Approach Modeling Age, Sex, and Noise Exposure History. Zapala, David A.; Criter, Robin E.; Bogle, Jamie M.; Lundy, Larry B.; Cevette, Michael J.; Bauch, Christopher D. // Journal of the American Academy of Audiology;Jul/Aug2012, Vol. 23 Issue 7, p553 

    Background: Asymmetric hearing loss (AHL) can be an early sign of vestibular schwannoma (VS). However, recognizing VS-induced AHL is challenging. There is no universally accepted definition of a "medically significant pure-tone hearing asymmetry," in part because AHL is a common feature of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics