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Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke
Published on: February 22, 2020
Short-term and long-term stroke survival: the belgrade prognostic study
Sanja Medic1, Ljiljana Beslac-Bumbasirevic, Darija Kisic-Tepavcevic
1Department of Neurology, Clinical Center Dr Dragisa Misovic, Belgrade, Serbia.
Journal of Clinical Neurology (Seoul, Korea)
|January 25, 2013
Summary
This study found that hypertension, high NIH Stroke Scale scores, and in-hospital complications predict poor outcomes after ischemic stroke. Early physical therapy improved survival rates, highlighting the need for risk factor management.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Background:
- First-ever ischemic stroke poses a significant threat to patient survival.
- Understanding short-term and long-term survival is crucial for stroke management.
- Identifying baseline predictors can guide preventative and therapeutic strategies.
Purpose of the Study:
- To determine 28-day and 1-year survival rates following a first-ever ischemic stroke.
- To identify key baseline predictors influencing survival outcomes.
Main Methods:
- Prospective data collection from 300 first-ever acute ischemic stroke patients.
- Kaplan-Meier method for survival rate estimation.
- Cox proportional-hazards regression for predictor assessment.
Main Results:
- 28-day survival rate was 81.0%; 1-year survival rate was 78.3%.
- Unfavorable predictors included hypertension, high NIH Stroke Scale scores, and in-hospital complications.
- Early physical therapy was a favorable prognostic factor for 28-day mortality.
Conclusions:
- Optimal control of vascular risk factors is essential.
- Effective management of atherosclerotic disease and in-hospital complications is vital.
- Early intervention and comprehensive stroke care improve patient survival.