NIH stroke scale and unfavourable outcomes in acute ischaemic stroke: retrospective study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1136/spcare-2022-003791 http://hdl.handle.net/11449/237961 |
Resumo: | Objectives To evaluate the determining factors of severe functional impairment (SFI) outcome at discharge and in-hospital mortality in patients who had an acute ischaemic stroke and thus favouring early implementation of primary palliative care (PC). Methods A retrospective descriptive study by the analysis of 515 patients who had an acute ischaemic stroke admitted at stroke unit, aged >= 18 years, from January 2017 to December 2018. Previous clinical and functional status data, National Institute of Health Stroke Scale (NIHSS) on admission, and data related to the evolution during hospitalisation were evaluated, relating them to the SFI outcome at discharge and death. The significance level was set at 5%. Results Of 515 patients included, 15% (77) died, 23.3%(120) had an SFI outcome and 9.1% (47) were evaluated by the PC team. It was observed that NIHSS Score >= 16 is responsible for a 15.5-fold increase in the occurrence of death outcome. The presence of atrial fibrillation was responsible for a 3.5-fold increase in the risk of this outcome. Conclusion NIHSS Score is an independent predictor of in-hospital death and SFI outcomes at discharge. Knowledge about the prognosis and risk of developing unfavourable outcomes is important for planning the care of patients affected by a potentially fatal and limiting acute vascular insult. |
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Repositório Institucional da UNESP |
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NIH stroke scale and unfavourable outcomes in acute ischaemic stroke: retrospective studyStrokePrognosisNeurological conditionsObjectives To evaluate the determining factors of severe functional impairment (SFI) outcome at discharge and in-hospital mortality in patients who had an acute ischaemic stroke and thus favouring early implementation of primary palliative care (PC). Methods A retrospective descriptive study by the analysis of 515 patients who had an acute ischaemic stroke admitted at stroke unit, aged >= 18 years, from January 2017 to December 2018. Previous clinical and functional status data, National Institute of Health Stroke Scale (NIHSS) on admission, and data related to the evolution during hospitalisation were evaluated, relating them to the SFI outcome at discharge and death. The significance level was set at 5%. Results Of 515 patients included, 15% (77) died, 23.3%(120) had an SFI outcome and 9.1% (47) were evaluated by the PC team. It was observed that NIHSS Score >= 16 is responsible for a 15.5-fold increase in the occurrence of death outcome. The presence of atrial fibrillation was responsible for a 3.5-fold increase in the risk of this outcome. Conclusion NIHSS Score is an independent predictor of in-hospital death and SFI outcomes at discharge. Knowledge about the prognosis and risk of developing unfavourable outcomes is important for planning the care of patients affected by a potentially fatal and limiting acute vascular insult.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Univ Estadual Paulista, Fac Med, Campus Botucatu, Botucatu, SP, BrazilUniv Fed Parana, Dept Neurol, Curitiba, Parana, BrazilUniv Estadual Paulista, Fac Med, Campus Botucatu, Botucatu, SP, BrazilFAPESP: 2020/09947--4Bmj Publishing GroupUniversidade Estadual Paulista (UNESP)Univ Fed Parana (UFPR)Tramonte, Maiara Silva [UNESP]Carvalho, Ana Claudia Pires [UNESP]Fornazari, Ana Elisa Vayego [UNESP]Boas, Gustavo Di Lorenzo Villas [UNESP]Modolo, Gabriel Pinheiro [UNESP]Ferreira, Natalia Cristina [UNESP]Lange, Marcos ChristianoMinicucci, Marcos Ferreira [UNESP]Bazan, Rodrigo [UNESP]Gomes Lopes, Laura Cardia [UNESP]2022-11-30T16:20:43Z2022-11-30T16:20:43Z2022-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article4http://dx.doi.org/10.1136/spcare-2022-003791Bmj Supportive & Palliative Care. London: Bmj Publishing Group, 4 p., 2022.2045-435Xhttp://hdl.handle.net/11449/23796110.1136/spcare-2022-003791WOS:000850233600001Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBmj Supportive & Palliative Careinfo:eu-repo/semantics/openAccess2024-08-16T15:46:26Zoai:repositorio.unesp.br:11449/237961Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T15:46:26Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
NIH stroke scale and unfavourable outcomes in acute ischaemic stroke: retrospective study |
title |
NIH stroke scale and unfavourable outcomes in acute ischaemic stroke: retrospective study |
spellingShingle |
NIH stroke scale and unfavourable outcomes in acute ischaemic stroke: retrospective study Tramonte, Maiara Silva [UNESP] Stroke Prognosis Neurological conditions |
title_short |
NIH stroke scale and unfavourable outcomes in acute ischaemic stroke: retrospective study |
title_full |
NIH stroke scale and unfavourable outcomes in acute ischaemic stroke: retrospective study |
title_fullStr |
NIH stroke scale and unfavourable outcomes in acute ischaemic stroke: retrospective study |
title_full_unstemmed |
NIH stroke scale and unfavourable outcomes in acute ischaemic stroke: retrospective study |
title_sort |
NIH stroke scale and unfavourable outcomes in acute ischaemic stroke: retrospective study |
author |
Tramonte, Maiara Silva [UNESP] |
author_facet |
Tramonte, Maiara Silva [UNESP] Carvalho, Ana Claudia Pires [UNESP] Fornazari, Ana Elisa Vayego [UNESP] Boas, Gustavo Di Lorenzo Villas [UNESP] Modolo, Gabriel Pinheiro [UNESP] Ferreira, Natalia Cristina [UNESP] Lange, Marcos Christiano Minicucci, Marcos Ferreira [UNESP] Bazan, Rodrigo [UNESP] Gomes Lopes, Laura Cardia [UNESP] |
author_role |
author |
author2 |
Carvalho, Ana Claudia Pires [UNESP] Fornazari, Ana Elisa Vayego [UNESP] Boas, Gustavo Di Lorenzo Villas [UNESP] Modolo, Gabriel Pinheiro [UNESP] Ferreira, Natalia Cristina [UNESP] Lange, Marcos Christiano Minicucci, Marcos Ferreira [UNESP] Bazan, Rodrigo [UNESP] Gomes Lopes, Laura Cardia [UNESP] |
author2_role |
author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) Univ Fed Parana (UFPR) |
dc.contributor.author.fl_str_mv |
Tramonte, Maiara Silva [UNESP] Carvalho, Ana Claudia Pires [UNESP] Fornazari, Ana Elisa Vayego [UNESP] Boas, Gustavo Di Lorenzo Villas [UNESP] Modolo, Gabriel Pinheiro [UNESP] Ferreira, Natalia Cristina [UNESP] Lange, Marcos Christiano Minicucci, Marcos Ferreira [UNESP] Bazan, Rodrigo [UNESP] Gomes Lopes, Laura Cardia [UNESP] |
dc.subject.por.fl_str_mv |
Stroke Prognosis Neurological conditions |
topic |
Stroke Prognosis Neurological conditions |
description |
Objectives To evaluate the determining factors of severe functional impairment (SFI) outcome at discharge and in-hospital mortality in patients who had an acute ischaemic stroke and thus favouring early implementation of primary palliative care (PC). Methods A retrospective descriptive study by the analysis of 515 patients who had an acute ischaemic stroke admitted at stroke unit, aged >= 18 years, from January 2017 to December 2018. Previous clinical and functional status data, National Institute of Health Stroke Scale (NIHSS) on admission, and data related to the evolution during hospitalisation were evaluated, relating them to the SFI outcome at discharge and death. The significance level was set at 5%. Results Of 515 patients included, 15% (77) died, 23.3%(120) had an SFI outcome and 9.1% (47) were evaluated by the PC team. It was observed that NIHSS Score >= 16 is responsible for a 15.5-fold increase in the occurrence of death outcome. The presence of atrial fibrillation was responsible for a 3.5-fold increase in the risk of this outcome. Conclusion NIHSS Score is an independent predictor of in-hospital death and SFI outcomes at discharge. Knowledge about the prognosis and risk of developing unfavourable outcomes is important for planning the care of patients affected by a potentially fatal and limiting acute vascular insult. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-11-30T16:20:43Z 2022-11-30T16:20:43Z 2022-09-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1136/spcare-2022-003791 Bmj Supportive & Palliative Care. London: Bmj Publishing Group, 4 p., 2022. 2045-435X http://hdl.handle.net/11449/237961 10.1136/spcare-2022-003791 WOS:000850233600001 |
url |
http://dx.doi.org/10.1136/spcare-2022-003791 http://hdl.handle.net/11449/237961 |
identifier_str_mv |
Bmj Supportive & Palliative Care. London: Bmj Publishing Group, 4 p., 2022. 2045-435X 10.1136/spcare-2022-003791 WOS:000850233600001 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Bmj Supportive & Palliative Care |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
4 |
dc.publisher.none.fl_str_mv |
Bmj Publishing Group |
publisher.none.fl_str_mv |
Bmj Publishing Group |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1808128209325129728 |