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

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

Abstract

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 these 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