One-Month Mortality in Patients with Ischemic Stroke Using Score for Early Ischemic Stroke Mortality

Maeda Jabeen; Jamal Waris; Sehrish Kanwal; Tasmia Ishaq; Asad Sufian Azeem; Farhan Tariq

doi:10.51253/pafmj.v74i4.7719

Authors

Maeda Jabeen Department of Medicine, Combined Military Hospital Jhelum/National University of Medical Sciences (NUMS) Pakistan
Jamal Waris Department of Medicine, Combined Military Hospital Jhelum/National University of Medical Sciences (NUMS) Pakistan
Sehrish Kanwal Department of Medicine, Combined Military Hospital Jhelum/National University of Medical Sciences (NUMS) Pakistan
Tasmia Ishaq Department of Medicine, Combined Military Hospital Jhelum/National University of Medical Sciences (NUMS) Pakistan
Asad Sufian Azeem Department of Medicine, Combined Military Hospital Jhelum/National University of Medical Sciences (NUMS) Pakistan
Farhan Tariq Department of Medicine, Combined Military Hospital Jhelum/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i4.7719

Keywords:

Ischemic stroke, Mortality, Predicting Early Mortality of Ischemic Stroke (PREMISE).

Abstract

Objective: To determine one-month mortality in patients with ischemic stroke using Score for Early Ischemic Stroke Mortality.

Study Design: Prospective longitudinal study.

Place and Duration of Study: Combined Military Hospital, Jhelum Pakistan, from Jan 2020 to May 2021.

Methodology: All patients with acute ischemic stroke, aged more than 18 years, of either gender, were consecutively enrolled. Mortality at 1 month in patients with ischemic stroke was noted along with the demographic and clinical characteristics (comorbidities, smoking status, clinical stroke at admission, and cause of the stroke). Mortality at 1 month was predicted by using Predicting Early Mortality of Ischemic Stroke score. Additionally, National Institutes of Health Stroke Scale, Glasgow Coma Scale, and previous Modified Ranking Scale at admission was also recorded.

Results: Among 160 patients, the Mean age was 66.07±9.92 years. 121(75.6%) patients were males and 39(24.4%) were females. Mortality at 1 month was observed in 26(16.3%) patients. A significant association of mortality at 1 month was observed with age (p<0.001), dyslipidemia (p<0.001), hypertension (p=0.006), carotid stenosis (p<0.001), and atrial fibrillation (p<0.001). A significantly higher mean Predicting Early Mortality of Ischemic Stroke score (p<0.001), National Institutes of Health Stroke Scale score (p<0.001), previous Modified Ranking Scale (p<0.001) was noted among patients in whom mortality was observed at 1 month whereas Glasgow Coma Scale level (p<0.0010.....

Conclusion: The Predicting Early Mortality of Ischemic Stroke scoring system accurately predicted

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