What Is a Minor Stroke?
| Autor: | Jan Gralla, Krassen Nedeltchev, Heinrich Mattle, Urs Fischer, Adrian Baumgartner, Marie-Luise Mono, Caspar Brekenfeld, Gian Marco De Marchis, Marcel Arnold, Gerhard Schroth, Liliane Kappeler |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Pediatrics
medicine.medical_specialty MEDLINE media_common.quotation_subject Severity of Illness Index Neglect Central nervous system disease Fibrinolytic Agents Modified Rankin Scale Aphasia Outcome Assessment Health Care Severity of illness medicine Humans Thrombolytic Therapy cardiovascular diseases 610 Medicine & health Stroke Aged media_common Advanced and Specialized Nursing business.industry Vascular disease Reproducibility of Results Minor stroke Middle Aged medicine.disease Surgery Treatment Outcome Female Neurology (clinical) medicine.symptom Cardiology and Cardiovascular Medicine business |
| DOI: | 10.7892/boris.70 |
| Popis: | Background and Purpose— The term “minor stroke” is often used; however a consensus definition is lacking. We explored the relationship of 6 “minor stroke” definitions and outcome and tested their validity in subgroups of patients. Methods— A total of 760 consecutive patients with acute ischemic strokes were classified according to the following definitions: A, score ≤1 on every National Institutes of Health Stroke Scale (NIHSS) item and normal consciousness; B, lacunar-like syndrome; C, motor deficits with or without sensory deficits; D, NIHSS ≤9 excluding those with aphasia, neglect, or decreased consciousness; E, NIHSS ≤9; and F, NIHSS ≤3. Short-term outcome was considered favorable when patients were discharged home, and favorable medium-term outcome was defined as a modified Rankin Scale score of ≤2 at 3 months. The following subgroup analyses were performed by definition: sex, age, anterior versus posterior and right versus left hemispheric stroke, and early (0 to 6 hours) versus late admission (6 to 24 hours) to the hospital. Results— Short-term and medium-term outcomes were most favorable in patients with definition A (74% and 90%, respectively) and F (71% and 90%, respectively). Patients with definition C and anterior circulation strokes were more likely to be discharged home than patients with posterior circulation strokes ( P =0.021). The medium-term outcome of older patients with definition E was less favorable compared with the outcome of younger ones ( P =0.001), whereas patients with definition A, D, and F did not show different outcomes in any subgroup. Conclusions— Patients fulfilling definition A and F had best short-term and medium-term outcomes. They would be best suited to the definition of “minor stroke.” |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|