Evaluation the outcome of stroke: a prospective hospital based study

ABSTRACT

This study was aimed to determine the functional outcome after stroke and to assess the influence of various factors on acute in-hospital stroke mortality. This prospective study included 281 stroke patients of either sex, 20 to 70 years and above admitted in Dr. Ziauddin Medical University Hospital, North Nazimabad Campus, Karachi, during a period of one year. Main outcome measures used were Glasgow Coma Scale [GCS] and Modified Rankin Scale [mRS]. Data analysis showed that in-hospital mortality was 11.74% [n=33/281]. Age and gender had no adverse effect on acute mortality in this study while poor initial GCS; hemorrhagic stroke and all the studied risk factors were bad prognostic factors. At the end of one month, 32 patients were lost to follow-up and mortality was 13.5% [n=5/216] while excellent outcome was observed in 22.27% [n=47/216] and poor outcome in 77.72% [n=164/216] of patients. This study confirms the significant morbidity and mortality associated with stroke and shows the need in preventing and controlling the risk factors for early death