KHẢO SÁT MỐI LIÊN QUAN GIỮA MỨC ĐỘ HỒI PHỤC KHI RA VIỆN VỚI MỘT SỐ THANG ĐIỂM CỦA BỆNH NHÂN ĐỘT QUỴ NHỒI MÁU NÃO KHÔNG DO NGUYÊN NHÂN TỪ TIM

Abstract

Objective: To evaluate risk factors, clinical characteristics and some stroke scales of the patients with a non-cardiac ischemic stroke and the relations between outcome and some stroke scales. Subjects and methods: 159 patients with non-cardiac ischemic stroke for the first time treated at the Department of Stroke, Military Hospital 103 from June 2020 to January 2021. They admitted to the hospital during the first 7 days. Results: Risk factors: age ≥ 55 83.6%, male 64.8%, hypertension 51.6%, diabetes 11.9%, lipid disorder 26.4%, obesity 15.7%, smoke 29.6% and drink alcohol 30.4%. The scale at admission: the average of GCS 14.41 ± 2.31, GCS = 15 was 74.2%; the average of NIHSS was 7.47 ± 5.80 the NIHSS < 5 was 39.6% and the average of ASPECT was 7.87 ± 1.39, and the ASPECT > 7 was 71.7%. At discharge, the average of mRS was 2.19 ± 1.338, mRS ≤ 2 was 72.3%. There was a correlation between the level of outcome according to the mRS with the GCS OR = 3 (1.5-6.8) (p = 0.002), NIHSS OR = OR = 7.2 (2.8 – 18.2); p < 0,01) and ASPECT OR = 2.3 (1.1-4.7) (p = 0.029). However, when analyzing multivariate logistic regression, only NIHSS had correlation with mRS (r <0.001) and could be used to predict the level of outcome.. Conclusion: The GCS, NIHSS and ASPECT scales were associated with outcome according to the mRS. However, only the NIHSS was able to predict the outcome at discharge