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Year : 2003  |  Volume : 51  |  Issue : 1  |  Page : 49--51

Morbidity predictors in ischemic stroke

JN Panicker1, M Thomas2, K Pavithran2, D Nair2, PS Sarma2 
1 Department of Hematology, Medical College, Thiruvananthapuram, Kerala-695011., India
2 Department of Neurology, Achutha Menon Centre for Health Science Studies, Sree Chitra Thirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala–695011, India

Correspondence Address:
J N Panicker
Tatsat TC 14 / 1024 – 1, Rosscote Lane, Thiruvananthapuram-695010

Background: Although ischemic CVA is one of the leading causes for death and disability, parameters for predicting long-term outcome in such patients have not been clearly delineated, especially in the Indian context. Methods: A prospective hospital-based study of 105 patients of ischemic stroke, focal neurological deficits and functional score was assessed and the C-reactive protein level (CRP) was measured. A follow-up was done at 5 days and at 6 months and outcome variable was the functional status at 6 months using Barthel Index of Activities of Daily Living. Accordingly, patients were grouped into 3 – Barthel Index < 41: Severely disabled, Barthel Index 41-60: Moderately disabled and Barthel Index > 60: Mildly disabled. Results: At admission, if upper limb power was less than Medical Research Council (MRC) grade 4, or aphasia was present or CRP assay was positive, then at 6 months, these patients most likely belonged to the severely disabled group. If upper limb or lower limb power was greater than MRC grade 3 or there was no aphasia or conjugate gaze deviation or CRP assay was negative, these patients most likely belonged to the mildly disabled group at 6 months. Follow-up rate was 86%. Conclusion: Patients can be stratified according to the predicted prognosis. The treatment and rehabilitation can be properly planned and strictly adhered to in patients predicted to have worse prognosis.

How to cite this article:
Panicker J N, Thomas M, Pavithran K, Nair D, Sarma P S. Morbidity predictors in ischemic stroke .Neurol India 2003;51:49-51

How to cite this URL:
Panicker J N, Thomas M, Pavithran K, Nair D, Sarma P S. Morbidity predictors in ischemic stroke . Neurol India [serial online] 2003 [cited 2023 Mar 24 ];51:49-51
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