Research Article
Volume 7 Issue 8 - 2020
Short Term Outcome of Acute Ischemic Stroke Patients
Ratindra Nath Mondal1*, Mahajabin Jamal2, Md Atiqul Islam3, Md Mahfuj-Ul-Anwar2, Md Mokhlesur Rahman Sarker2, Shah Md Sarwer Jahan2, Moni Rani4 and Md Zakir Hossain5
1Hypertension and Research Center, Rangpur, Bangladesh
2Rangpur Medical College, Bangladesh
3Pabna Medical College, Bangladesh
4Rajshahi Medical College, Bangladesh
5Shaheed Ziaur Rahman Medical College, Bangladesh
*Corresponding Author: Ratindra Nath Mondal, Hypertension and Research center, Rangpur, Rangpur, Bangladesh.
Received: June 17, 2020; Published: July 08, 2020


Background: Stroke is a major cause of disability and death. In 2013, a total of 3.3 million individuals died of ischemic stroke worldwide.

Materials and Methods: This was an observational study, carried out in department of Medicine of Rangpur Medical College Hospital, from 1st July 2017 to 31st December 2017. Ischemic stroke patients were included in the study.

Results: During the study period we have studied over 138 patients, mean age of the patients at the time of stroke were 61.26 years, male were more than male (60.1% vs 39.9%). Mortality within 30 days for patients with ischemic stroke was 18.1% (25), among them 60% were female and 40% male. In this study mean size of infarction was 6.25 mm2 (larger one was 48 mm2). Mortality at 30th day was 45.8% in those who had infarction >10 mm2 and 12.3% who had infarction size < 10 mm2. According to the arterial territory involved lacunar stroke syndrome (LACS) was the maximum 34.8%. Mortality at 30th day was more in total anterior circulation syndrome (TACS) group. Mean Glasgow coma scale (GCS) of the patients at the time of admission was 11.53. There was improvement of GCS from presentation (GCS 11.77) to discharge (13.51) in survived patients. There was no significant improvement occurred from presentation (GCS 6.10) to after 24 hours (6.12) in case of death cases. GCS at presentation and arterial territory involvement was a good predictor of mortality within 30 days. Those who had GCS < 10 at presentation, majority were TACS group (37.5%), among them 77.78% died within 30 days.

Conclusion: Short term mortality (30 days) is high in ischemic stroke. GCS at presentation and after 24 hours, size of infarction arterial territory involvement may be good predictor of mortality within 30 days.

Keywords: Short Term; Ischemic; Mortality; Rangpur


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Citation: Ratindra Nath Mondal., et al. “Short Term Outcome of Acute Ischemic Stroke Patients”. EC Cardiology 7.8 (2020): 10-18.

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