Predictors of stroke outcome in Egyptian patients following acute stroke

ABSTRACT

Stroke is a major public health problem. Certain clinical factors can predict the prognosis of functional outcome of acute stroke. Identify factors which predict the outcome of stroke Egyptian patients. Hospital-based prospective study included 220 patients with stroke. Data collection was carried out using a pretested questionnaire. The questionnaire was used to record the demographic data, clinical data, the pre hospital delay. Neurological examination with special emphasis on the muscle power was done. The patients were followed up till their time of discharge to record the length of hospital stay, and the functional outcome at time of discharge which was assessed by modified Rankin Scale [mRS]. The mean age of the studied patients was 59.8 +/- 13.2, males constituted 64.1%. Hypertension was the main co morbidity detected in 65%. The degree of weakness of the patient recorded complete paralysis in 6.8%. The median prehospital delay was 6 hours, while median the length of hospital stay was 6 days. 53.2% were independent according to mRS [good outcome] and 46.3% were dependent [bad outcome]. Forward logistic regression analysis demonstrated that motor weakness, older age, female sex and prehospital delay were the only significant predictors with prediction change in the odds equal [12.9, 7.8, 2.6,4.6 respectively]. Our data confirmed that old age, female sex, pre hospital delay, lower manual muscle strength testing score were the independent predictor of poor outcome in Egyptian stroke patients