Progression in acute ischemic stroke: frequency, risk factors and prognosis

Background and purpose: The aim of this study was to investigate the frequency, possible predictive factors and the prognosis of deteriorating ischemic stroke. Methods: A total of 266 stroke patients who presented within 24 h of onset were enrolled. Clinical deterioration was defined as a decrease of 1 points in the Canadian Neurological Scale (CNS). Rankin Score (RS) was performed at discharge and at six months. Results: Of the 266 patients studied, 26 (9.8%) worsened. Involvement of posterior circulation (odds ratio (OR) 3.16) and noncardioembolic infarction (OR 4.5) were found to be independently associated with neurological worsening. Death occurred in 19.2% of progressive (P) and in 4.16% of nonprogressive (NP) groups. Functional outcome was worse in the P than in NP patients at discharge and at sixth months. Conclusions: Involvement of posterior circulation and noncardioembolic subtypes of infarct independently affect neurological progression in acute ischemic stroke. Clinical deterioration significantly worsens the prognosis. (C) 2003 Elsevier Science Ltd. All rights reserved.

Yazar Sumer, M
Ozdemir, I
Erturk, O
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3172
Tek Biçim Adres 10.1016/S0967-5868(02)00325-9
Konu Başlıkları stroke acute
stroke outcome
stroke classification
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı JOURNAL OF CLINICAL NEUROSCIENCE
Dergi Cilt Bilgisi 10
Dergi Sayısı 2
Sayfalar 177 - 180
Yayın Yılı 2003
Eser Adı
[dc.title]
Progression in acute ischemic stroke: frequency, risk factors and prognosis
Yazar
[dc.contributor.author]
Sumer, M
Yazar
[dc.contributor.author]
Ozdemir, I
Yazar
[dc.contributor.author]
Erturk, O
Yayın Yılı
[dc.date.issued]
2003
Yayıncı
[dc.publisher]
CHURCHILL LIVINGSTONE
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Background and purpose: The aim of this study was to investigate the frequency, possible predictive factors and the prognosis of deteriorating ischemic stroke. Methods: A total of 266 stroke patients who presented within 24 h of onset were enrolled. Clinical deterioration was defined as a decrease of 1 points in the Canadian Neurological Scale (CNS). Rankin Score (RS) was performed at discharge and at six months. Results: Of the 266 patients studied, 26 (9.8%) worsened. Involvement of posterior circulation (odds ratio (OR) 3.16) and noncardioembolic infarction (OR 4.5) were found to be independently associated with neurological worsening. Death occurred in 19.2% of progressive (P) and in 4.16% of nonprogressive (NP) groups. Functional outcome was worse in the P than in NP patients at discharge and at sixth months. Conclusions: Involvement of posterior circulation and noncardioembolic subtypes of infarct independently affect neurological progression in acute ischemic stroke. Clinical deterioration significantly worsens the prognosis. (C) 2003 Elsevier Science Ltd. All rights reserved.
Açıklama
[dc.description]
WOS: 000181878600007
Açıklama
[dc.description]
PubMed: 12637044
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
stroke acute
Konu Başlıkları
[dc.subject]
stroke outcome
Konu Başlıkları
[dc.subject]
stroke classification
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0967-5868
İlk Sayfa Sayısı
[dc.identifier.startpage]
177
Son Sayfa Sayısı
[dc.identifier.endpage]
180
Dergi Adı
[dc.relation.journal]
JOURNAL OF CLINICAL NEUROSCIENCE
Dergi Sayısı
[dc.identifier.issue]
2
Dergi Cilt Bilgisi
[dc.identifier.volume]
10
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1016/S0967-5868(02)00325-9
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3172
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
13
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 08:51
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Tıklayınız
stroke patients deterioration neurological noncardioembolic discharge months Involvement posterior circulation independently Clinical prognosis ischemic affect worsening worsens Elsevier associated Science occurred rights reserved infarction progression subtypes Conclusions infarct outcome Functional groups nonprogressive significantly progressive Background
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