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June 2014 Vol. 3 Issue
6
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Zhang Y
Liu J
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Global Advanced Research Journal
of Medicine and Medical Sciences (GARJMMS) ISSN: 2315-5159
June 2014 Vol. 3(6), pp.
111-116
Copyright © 2014 Global Advanced
Research Journals
Full Length Research Paper
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Risk factors and
predictors of early mortality after acute stroke:
hospital based study
Yundong Zhang Ph.D1, Ibrahim El Bayoumy
Ph.D2*, Yihua Zhang MD1,
Huajiang Yang MD1 and Jiang Liu MD1
1Department
of neurosurgery, Institute of Surgery Research,
Daping Hospital, Third Military Medical University,
10 Changjiang Branch Road, Yuzhong District, Chongqing 400042, PR
China.
2Administration
of Public health,
Ports and Borders health division, P.O Box 35180,
Shaab 36052, Kuwait.
*Corresponding Author E-mail:
Ielbayoumy03@Gmail.com;
Phone: +965
97670530, +965 24720539
Accepted 17 June, 2014
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Abstract |
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To determine the predictors of 30-days
intra-hospital case fatality rate in patients with
first-ever acute stroke in tertiary case Al
Farwaniah hospital in Kuwait and Daping hospital in
China. A cross-sectional observational study This is
a cross-sectional study which included 134 patients
with acute first-ever stroke 70 cases admitted to
Al-Farwaniah hospital intensive care unit in Kuwait
and 64 cases in Daping hospital intensive care in
China. Uniform information was obtained using
standard format documenting risk factors,
neurological clinical presentation at the time of
admission, admission Glasgow Coma Score (GCS) and
Barthel index, blood pressure, random blood glucose
level and presence of complications. All patient
were closely followed up to monitor progress of
theses cases. The end point was mortality or
survival at 30 days from stroke onset. The 30-days
case fatality rate was 22.4% age, sex, hypertension
had no impact on mortality. Haemorrhagic (p=0.04),
low GCS (p=0.001), low Barthel index < 5/20
(p=0.001), diabetes mellitus (p=0.001) and middle
cerebral artery infarct i.e MCA (p=0.001) on
admission were important predictors of mortality.
Hypertension and diabetes mellitus are the most
common risk factors of stroke among patients
admitted to Farwaniah hospital – Kuwait and Daping
hospital in China. Significant predictors of
one-month mortality include admission GCS, its
deterioration and haemorrhagic stroke.
Keywords:
Intensive care unit, ischemic stroke, haemorrhagic
stroke, Glasgow Coma Score, outcome, survival
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