![]() | Only 14 pages are availabe for public view |
Abstract This study aimed to: 1- Studying the different demographic and clinical variables as well as some routine laboratory parameters, which are thought to affect the immediate outcome; including mortality, different types of ischemic strokes managed in neurology department at EL-Minia University Hospital. 2- Comparing the effect of different modalities of antithrombotic therapy or immediate outcome of patients with stroke. 3- Comparing the difference in immediate outcome of patients with stroke treated in stroke unit and those in general neurology wards. The conclusions were: Mortality rate in our study was (27.3%), factors found to be a good predictors of mortality were: prolonged duration of onset before arrival to the hospital, distributed level of consciousness on admission, severity of clinical symptoms on admission, old age, past history of stroke, pre stroke urinary dysfunction, pre stroke mobility dysfunction, speech affection, completely bid ridden at onset, chest infection, higher blood sugar on admission, renal function impairment, left side infarction, cortical-subcortical large infarction size, mass effect. Factors found to be good predictors for clinical and functional recovery were: early arrival to hospital and early management, clear consciousness, -ve history of hypertension, compliance on treatment of hypertension & diabetes, normal prestroke urinary function, -ve symptoms of increase intracranial pressure, no sphencteric disturbance, no speech affection, absence of cranial nerve, sensory, and cerebellar affection, normal systolic and diastolic blood pressure, no chest infection, normal ECG, small or lacunar infarction and absence of mass effect. As regard the impact of stroke unit on immediate outcome we found that stroke unit improving the mortality rate but has no impact on improving early functional recovery. |