Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

Early predictors of 30-day mortality in supratentorial ischemic stroke patients--firstepisode.

A Szczudiik, A Słowik, W Turaj, G Zwolińska, U Wyrwicz-Petkow, K Kasprzyk, M Bosak

Med Sci Monit 2000; 6(1): CR75-80 :: ID: 432826


INTRODUCTION: Prognostic factors following stroke remain to be established.The aim of this study was to determine early prognostic factors related with a 30-day mortality in firstepisode ischemic stroke patients. MATERIALS AND METHODS: The study group comprised 329 consecutive patients,aged between 33 and 99 years (mean age +/- SD 69 +/- 12.6) admitted within 24 hours following their firstsupratentorial ischemic stroke, confirmed either by computer tomography (CT) and/or autopsy. The followingdata were assessed within 24 hours of hospitalization: gender, age, history of diabetes mellitus, historyof ischemic heart disease, obesity, the neurological deficit at entry and after one day, level of consciousnessat entry and after one day, electrocardiographic dysrhythmia at entry, blood pressure at entry and bodytemperature on the first day following stroke. We also assessed particular serum biochemical and hematologicalmarkers including: hematocrit, fibrinogen concentration, platelet count, white blood cell (WBC) count,gamma globulin level, glucose level, cholesterol level, the erythrocyte sedimentation rate (ESR), andcreatinine kinase (CK) level. The end-point for assessment was early death (within 30 days). Statisticalanalysis consisted of univariate analysis and multiple regression. RESULTS: Univariate analysis demonstratedthat an older age, increased neurological deficit at entry and on the next day, decreased consciousnessat entry and on the next day, electrocardiographic dysrhythmia, increased body temperature and glucoselevel, decreased cholesterol level and increased CK level were significantly associated with death after30 days (p < or = 0.05). During multivariate analysis, only a severe neurological deficit (ScandinavianStroke Scale < or = 15 points) both at entry and on the next day (OR = 8.3; 95% CI: 2.83-24.35), decreasedconsciousness within the first 24 hours of hospitalization (OR = 19.2; 95% CI: 2.84-127.77) and electrocardiographicdysrhythmia (OR = 5.2; 95% CI: 2.37-13.77) were associated with death after 30 days. CONCLUSION: A severeneurological deficit lasting 24 hours, decreased consciousness within 24 hours of hospitalization andelectrocardiographic dysrhythmia are the most important indicators of 30-day mortality in patients withfirst-time ischemic stroke.

Keywords: Time Factors

Add Comment 0 Comments

499 3


01 June 2023 : Editorial  

Editorial: Infectious Disease Surveillance Using Artificial Intelligence (AI) and its Role in Epidemic and Pandemic Preparedness

Dinah V. Parums
Science Editor, Medical Science Monitor, International Scientific Information, Inc., Melville, NY, USA

DOI: 10.12659/MSM.941209

Med Sci Monit 2023; 29:e941209


In Press

01 Jun 2023 : Clinical Research  

Root Canal Numbers and Configurations in 1080 Permanent Canine Teeth in 270 Saudi Subjects Using Cone-Beam ...

Med Sci Monit In Press; DOI: 10.12659/MSM.940472  

01 Jun 2023 : Clinical Research  

Internal Orifice Alloy Closure: A New Procedure for Treatment of Perianal Fistulizing Crohn’s Disease

Med Sci Monit In Press; DOI: 10.12659/MSM.940873  

01 Jun 2023 : Clinical Research  

Effectiveness of Needle Aspiration versus Surgical Excision for Symptomatic Synovial Cysts of the Hip: A Si...

Med Sci Monit In Press; DOI: 10.12659/MSM.940187  

01 Jun 2023 : Clinical Research  

Influence of Insulin Resistance on Diabetes Nephropathy

Med Sci Monit In Press; DOI: 10.12659/MSM.939482  

Most Viewed Current Articles

13 Nov 2021 : Clinical Research  

Acceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...

DOI :10.12659/MSM.932788

Med Sci Monit 2021; 27:e932788


30 Dec 2021 : Clinical Research  

Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...

DOI :10.12659/MSM.935379

Med Sci Monit 2021; 27:e935379

08 Mar 2022 : Review article  

A Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...

DOI :10.12659/MSM.936292

Med Sci Monit 2022; 28:e936292

01 Jan 2022 : Editorial  

Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...

DOI :10.12659/MSM.935952

Med Sci Monit 2022; 28:e935952

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750