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Ischemic stroke demographics, clinical features and scales and their correlations: an exploratory study from Jordan

Khaled Z Alawneh1, Majdi Al Qawasmeh2, Liqaa A Raffee3

  • 1Department of Diagnostic Radiology & Nuclear Medicine, Faculty of Medicine, Jordan University of Science & Technology, Irbid, 22110, Jordan.

Future Science OA
|October 17, 2022
PubMed

Insights

This study on ischemic stroke found that women had worse outcomes. Controlling modifiable risk factors and understanding the link between neurological deficits and functional outcomes are crucial for stroke patients.

Area of Science:

  • Neurology
  • Cardiovascular Medicine
  • Public Health

Background:

  • Acute ischemic stroke is a leading cause of long-term disability.
  • Identifying risk factors and prognostic scales is crucial for patient management.
  • Understanding factors influencing stroke outcomes is essential for improving care.

Purpose of the Study:

  • To assess ischemic stroke risk factors and evaluate the utility of common stroke scales.
  • To investigate the relationship between demographic factors, comorbidities, and stroke severity.
  • To determine the correlation between initial neurological deficits and long-term functional outcomes.

Main Methods:

  • Retrospective cohort study of 359 acute ischemic stroke patients (Jan 2017-Dec 2018).
  • Collected National Institutes of Health Stroke Scale (NIHSS) scores at admission and discharge.
  • Collected modified Rankin Scale (mRS) and Barthel Index (BI) scores at one month post-stroke.

Main Results:

  • Hyperlipidemia (91.1%) and hypertension (80.5%) were the most common comorbidities.
  • Women exhibited significantly worse NIHSS, BI, and mRS scores compared to men.
  • NIHSS scores strongly correlated with post-stroke BI and mRS scores, indicating functional impairment.

Conclusions:

  • Gender is a significant factor influencing stroke outcomes.
  • Effective management of modifiable risk factors is vital for stroke prevention and recovery.
  • The intensity of neurological deficits directly impacts functional outcomes after ischemic stroke.
Abstract

Keywords:
BIBarthel IndexNIHSSgenderhyperlipidemiahypertensionischemic strokemRSmodified Rankin Scalerisk factorsstroke

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