Title |
Prediction of in-hospital stroke mortality in critical care unit
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Published in |
SpringerPlus, July 2016
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DOI | 10.1186/s40064-016-2687-2 |
Pubmed ID | |
Authors |
Wei-Min Ho, Jr-Rung Lin, Hui-Hsuan Wang, Chia-Wei Liou, Ku-Chou Chang, Jiann-Der Lee, Tsung-Yi Peng, Jen-Tsung Yang, Yeu-Jhy Chang, Chien-Hung Chang, Tsong-Hai Lee |
Abstract |
Critical stroke causes high morbidity and mortality. We examined if variables in the early stage of critical stroke could predict in-hospital mortality. We recruited 611 ischemic and 805 hemorrhagic stroke patients who were admitted within 24 h after the symptom onset. Data were analyzed with independent t test and Chi square test, and then with multivariate logistic regression analysis. In ischemic stroke, National Institutes of Health Stroke Scale (NIHSS) score (OR 1.08; 95 % CI 1.06-1.11; P < 0.01), white blood cell count (OR 1.11; 95 % CI 1.05-1.18; P < 0.01), systolic blood pressure (BP) (OR 0.49; 95 % CI 0.26-0.90; P = 0.02) and age (OR 1.03; 95 % CI 1.00-1.05; P = 0.03) were associated with in-hospital mortality. In hemorrhagic stroke, NIHSS score (OR 1.12; 95 % CI 1.09-1.14; P < 0.01), systolic BP (OR 0.25; 95 % CI 0.15-0.41; P < 0.01), heart disease (OR 1.94; 95 % CI 1.11-3.39; P = 0.02) and creatinine (OR 1.16; 95 % CI 1.01-1.34; P = 0.04) were related to in-hospital mortality. Nomograms using these significant predictors were constructed for easy and quick evaluation of in-hospital mortality. Variables in acute stroke can predict in-hospital mortality and help decision-making in clinical practice using nomogram. |
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Geographical breakdown
Country | Count | As % |
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Italy | 1 | 2% |
Unknown | 44 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Postgraduate | 5 | 11% |
Researcher | 5 | 11% |
Other | 4 | 9% |
Student > Master | 4 | 9% |
Student > Ph. D. Student | 4 | 9% |
Other | 6 | 13% |
Unknown | 17 | 38% |
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---|---|---|
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Computer Science | 5 | 11% |
Engineering | 3 | 7% |
Neuroscience | 2 | 4% |
Social Sciences | 1 | 2% |
Other | 2 | 4% |
Unknown | 22 | 49% |