MỘT SỐ YẾU TỐ LIÊN QUAN TỬ VONG Ở BỆNH NHÂN ĐỘT QUỴ CẤP TẠI BỆNH VIỆN ĐA KHOA CÀ MAU GIAI ĐOẠN 2023-2024

Abstract

Background: Acute stroke remains a leading cause of mortality, and initial clinical factors play a significant role in predicting patient outcomes. Objective: To determine the mortality rate and associated factors in acute stroke patients at Ca Mau General Hospital during the 2023–2024 period. Methods: A cross-sectional descriptive study was conducted on 3314 hospitalized stroke patients. In-hospital mortality was analyzed using multivariable logistic regression. Results: The overall mortality rate was 15.36%. Multivariable analysis identified the following associated factors: impaired consciousness (adjusted OR = 6.85; CI 95%: 4.10–11.45), respiratory rhythm disorders (adjusted OR = 9.84; CI 95%: 6.12–15.83), signs of cerebral compression (adjusted OR = 7.12; CI 95%: 5.40–9.72), hyperthermia (adjusted OR = 4.01;CI 95%: 2.98–6.52), high NIHSS score (adjusted OR = 2.21;CI 95%: 1.48–3.31), hemorrhagic stroke subtype (adjusted OR = 10.21), and advanced age (adjusted OR = 1.42). The presence of multiple comorbidities also increased the risk of mortality (adjusted OR = 1.38). Conclusion: Acute stroke mortality remains high. Prognostic factors include low Glasgow Coma Scale (GCS) score, respiratory rhythm disorders, cerebral compression, hyperthermia, high NIHSS scores, hemorrhagic stroke, advanced age, and multiple comorbidities. Early identification of these factors may help improve management strategies.