Predictors of early hospital mortality in patients with ischemic stroke

Autor: Khalida Musaeva, Elmira M. Mamytova, Nurbek K. Monolov, Darikha I. Bakaeva, Damirbek A. Abibillaev
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Heart Vessels and Transplantation, Vol 8, Iss 2 (2024)
Druh dokumentu: article
ISSN: 1694-7886
1694-7894
DOI: 10.24969/hvt.2024.464
Popis: Objective: Identifying predictors that forecast hospital mortality among patients with ischemic stroke is crucial for ensuring timely and appropriate treatment and for improving its outcomes. The aim of this study was to investigate predictors associated with early hospital mortality in patients with ischemic stroke. We examined the relationship between various clinical, laboratory, and neuroimaging factors and adverse clinical outcomes. Methods: This retrospective, cohort study, included the analysis of medical records of 90 patients aged 18 and older diagnosed with "ischemic stroke," who were admitted to the stroke unit of a large tertiary-level multi-profile hospital. All patients were divided into two groups - the deceased group (n=45) and the surviving group (n=45). The collected data included patients' demographic information, basic clinical and laboratory characteristics upon admission to the hospital, historical data on vascular risk factors, neuroimaging findings (including angiography), as well as cardiological evaluations, consultations with specialists, and autopsies. The association of predictors with clinical outcome of ischemic stroke was determined using multivariate logistic regression analysis. Results: In the deceased group, hospital mortality was associated with the initial severity of the condition due to reduced consciousness (n=31 (69%), p
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