STUDY ON THE PREVALENCE AND FACTORS ASSOCIATED WITH STROKE SEVERITY AT CAN THO CITY GENERAL HOSPITAL

Tuệ Mẫn Tống 1, Thế Vinh Nguyễn 1,
1 Vo Truong Toan University

Main Article Content

Abstract

Objectives: determine the prevalence and factors associated with stroke severity. Materials and methods: cross-sectional descriptive study was conducted using a convenient sampling method. Patients diagnosed with stroke who were treated at Can Tho City General Hospital from February 2025 to September 2025 were recruited. A total of 92 patients who met the inclusion criteria were enrolled in the study. Results: the proportion of male patients was 54.3%. The mean NIHSS score on admission was 11.78 ± 7.11 points. The proportions of mild, moderate, and severe stroke were 25.0%, 38.0%, and 37.0%, respectively. Patients with severe stroke had higher rates of hypertension (76.5% vs 44.8%), diabetes (47.1% vs 17.2%) and smoking (52.9% vs 29.3%) compared with those without severe stroke. Similarly, patients with severe stroke had higher mean blood pressure and mRS scores at admission. Conclusion: the prevalence of severe stroke was relatively high. Patients with severe stroke presented with higher blood pressure and mRS scores at admission. Hypertension, diabetes mellitus, and smoking were identified as factors associated with an increased risk of severe stroke.

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References

1. Mendis SJ. Stroke disability and rehabilitation of stroke: World Health Organization perspective. International Journal of Stroke. 2013. 8(1), p. 3-4.
2. Reddin C, et al. Association of vascular risk with severe vs Non-Severe stroke: an analysis of the INTERSTROKE study. Neurology. 2024. 103(11), p. e210087.
3. Winstein, et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2016. 47(6), p. e98-e169.
4. Kogan E, et al. Assessing stroke severity using electronic health record data: a machine learning approach. BMC medical informatics decision making. 2020. 20(1), p. 8.
5. Bill O, et al. Severe stroke: patient profile and predictors of favorable outcome. Journal of Thrombosis Haemostasis. 2013. 11(1), p. 92-99.
6. Sada EC, et al. Diagnostic Accuracy of NIHSS and Scandinavian Stroke Scale to Assess the Early Stroke Severity at the Entry into Emergency Medicine Department. European Journal of Cardiovascular Medicine. 2025. 15(1), p. 1-6.
7. Khan MA, et al. Inpatient assessment of the neurological outcome of acute stroke patients based on the National Institute of Health Stroke Scale (NIHSS). Annals of Medicine Surgery. 2022. 82.
8. Johansen MC, et al. Association between ischemic stroke subtype and stroke severity: the atherosclerosis risk in communities study. Neurology. 2023. 101(9), p. e913-e921.