Annals of African Medicine
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Year : 2011  |  Volume : 10  |  Issue : 1  |  Page : 55-58

Efficacy of a clinical stroke score in monitoring complications in acute ischaemic stroke patients could be used as an independent prognostic factor

Department of Medicine, Lagos State College of Medicine, [LASUCOM] Ikeja, Lagos, Nigeria

Correspondence Address:
Clara Olakunbi Dawodu
P.O. Box 228 80, Ikeja, Lagos
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1596-3519.76589

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Background : Presence of medical complications in stroke patients has been established. The efficacy of a stroke score in intensive monitoring of these complications in acute ischaemic stroke patients has not been studied. Methods : Eighty-seven patients with acute ischaemic stroke were assessed with National Institute of Health Stroke Scale (NIHSS) by the examiner within days of admission; (1, 7, 30, and 90 days). Onset and types of complications were documented within the duration of the study period, using a questionnaire and laboratory investigations. Results : Fifty-nine [67.8%] patients in the study population had complications, with mean initial NIHSS score 17.1 ± 7.9; mortality was 39%, and 27.8% of survivors had good recovery. In patients without complications, the mean initial NIHSS score was 11.4 ± 6.0; mortality was not observed, and 50% of survivors had good recovery. Conclusion : All patients without complications survived. High NIHSS scores, (with minimal changes below baseline) were related to high mortality and morbidity in the complications group.

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