Key result
Ischemic stroke predominates over hemorrhagic stroke, with ~41% presenting with severe deficits by NIHSS.
Why the study?
The study aimed to assess the severity of stroke using the NIH stroke scale among ischemic and hemorrhagic stroke patients.
Observational (n=150)
No
In an Indian tertiary care hospital, ischemic stroke was more common than hemorrhagic stroke, with a high proportion of patients presenting with severe stroke.
High severe ischemic stroke burden in this Indian cohort; leaves open generalizability and causal hypertension links, warranting prospective studies.
Aim: To assess the severity of stroke by using the NIH stroke scale among the ischemic and hemorrhagic stroke patients. Materials and Methods: Patients who were newly diagnosed with stroke were included in the study. All the demographics of the patient were collected by using a data collection form and the severity of the stroke was assessed by using the NIHSS questionnaire. According to this questionnaire, the severity of the stroke was classified into minor (0-4), moderate (5-15), moderate to severe (16-20) and severe (21-42). Results: Among the 150 patients involved in the study 107 (71.3%) were found to be males and 43 (28.7%) were found to be females. In this study, the patients with ischemic stroke were observed to be 97 (64.7%) where as the patients with hemorrhagic stroke were 53 (35.3%). Hypertension (40%) was the most common co-morbidity observed in this study The severity of the stroke in majority of the patients were observed to be severe (40.7%) followed by moderate severity (35.3%). Conclusion: In this study, ischemic stroke was more prevalent when compared to hemorrhagic stroke. Hypertension is the most common co morbidity observed. According to the NIH stroke scale assessment, the severity of the most of the study participants was observed to be severe followed by moderate in this study. Clinical pharmacists should create awareness among the general public regarding the negative consequences of the stroke and also should suggest the life style modifications which may increase the quality of life of the stroke patients.
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Sasikala et al. (2021) conducted an observational in Stroke (n=150). Stroke (Ischemic and Hemorrhagic) was evaluated on Severity of stroke assessed by NIHSS. Among 150 stroke patients, ischemic stroke was more prevalent (64.7%) than hemorrhagic stroke (35.3%), and the majority of patients presented with severe stroke (40.7%) based on the NIHSS.
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