Association of National Institute Health Stroke Scale (NIHSS) Score on Admission with the Outcome of Acute Ischemic Stroke at Discharge from Hospital

Authors

  • TM Hasibul Hasan Registrar, Dept. of Neurology, Dhaka Medical College Hospital, Dhaka
  • Khan Redzwan Habib Ex-Surveillance Medical Officer, World Health organization, Dhaka
  • Elham Nuzhat Indoor Medical Officer (Medicine), Dhaka Dental College & Hospital, Dhaka
  • Lilian Catherene Gomes Medical Officer (Physical Medicine & Rehabilitation), Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Mohammad Murad Hossain Associate Professor, Dept. of Medicine, Dhaka Medical College Hospital, Dhaka
  • Md Titu Miah Professor of Medicine, Dhaka Medical College Hospital, Dhaka
  • Khan Abul Kalam Azad Professor of Medicine and Principal, Dhaka Medical College, Dhaka
  • Md Billal Alam Professor of Medicine and Principal, Sir Salimullah Medical College and Mitford Hospital, Dhaka

DOI:

https://doi.org/10.3329/jom.v19i2.37226

Keywords:

National Institute Health Stroke Scale (NIHSS), acute ischemic stroke, discharge from hospital

Abstract

Objectives: To determines the association of National Institute of Health Stroke Scale (NIHSS) score on admission with outcome of acute ischemic stroke during discharge from hospital.

Materials & Methods: This hospital based observational study was done in medicine department of Dhaka Medical College Hospital involving 50 patients diagnosed as ischemic stroke on admission. The diagnosis of stroke was established by the clinical presentation, neuroimaging (CT scan/ MRI). They were thoroughly examined and assessed with NIHSS score at admission. All data were be collected by using a preformed data sheet and results were presented in standard method after statistical analysis.

Results: Most of the patients were elder than 60 years of age and mean age of the patients was 60.34(±16.1) years at onset with a range of 24 to 76 years. Male were 116 (58%) and female were 84 (42%). Male to female ratio was1.4:1. Majority had hypertension (75.8%) followed by physical inactivity (67%), Diabetes (37.4%), smoking (33%), obesity (23.1%), family H/O stroke (20.9%) and dyslipideamia (15.4%). Higher NIHS score was associated with poor outcome (p value <0.05).

Conclusion: Among the common risk factors, smoking, hypertension, diabetes and atrial fibrillation are associated with worse outcome at discharge. Similarly, higher NIHSS score at admission and high CCI is also associated with poor outcome.

J MEDICINE JUL 2018; 19 (2) : 91-94

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Author Biography

TM Hasibul Hasan, Registrar, Dept. of Neurology, Dhaka Medical College Hospital, Dhaka



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Published

2018-07-10

How to Cite

Hasan, T. H., Habib, K. R., Nuzhat, E., Gomes, L. C., Hossain, M. M., Miah, M. T., Azad, K. A. K., & Alam, M. B. (2018). Association of National Institute Health Stroke Scale (NIHSS) Score on Admission with the Outcome of Acute Ischemic Stroke at Discharge from Hospital. Journal of Medicine, 19(2), 91–94. https://doi.org/10.3329/jom.v19i2.37226

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Original Articles