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Abstract:
Background: Stroke,
ischemic or hemorrhagic has been continued to be one of the major causes of in-hospital
mortality. To reduce the overall burden of stroke in the society an organized
approach in needed to predict mortality and morbidity in stroke especially
aggressive management for complications of stroke.
Aims
and objectives: To study mortality predictors in indoor patients of
stroke.
Material
and Methods: The present study was a prospective observational
study done in the department of General Medicine, Jawaharlal Nehru Hospital
& Research Centre Bhilai, Chhattisgarh during the period of December 2017
to December 2018.
Results: Mean
age of stroke patients in our study was 65.73±8.16 years. Males were more
affected by stroke than females (67% vs 33%). Mortality among ischemic stroke
was 10.71% and among hemorrhagic stroke, it was 37.5%. Mean NIHSS score was
21.6±5.08 among expired and mean GCS score was 4.53±1.64 among expired. Among
presenting complaints highest mortality was associated with complaint of total
loss of consciousness (36.33%). Atrial fibrillation among risk factors had
highest mortality (54.55%). Mean random blood glucose among expired was
175±97.36 mg/dl. Mean creatinine was 2.5±1.14 mg/dl among expired. Out of total
100 patients, 13 had history of kerosene ingestion among those 8 patients died
(61.54%).
Conclusion:
Ischemic strokes were more common than hemorrhagic strokes, but the latter had
higher mortality. Total loss of consciousness was associated with highest
mortality among subjects. Along with
hyperglycemia, renal dysfunction, High NIHSS, low GCS score, local malpractices
like feeding kerosene oil to the patient had unpredictable adverse effect over
prognosis of stroke.
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