Khan Mohammad Sajjad Ali, Ahmad Shahzad, Ghafoor Bushra, Shah Mohammad Haris, Mumtaz Hassan, Ahmad Wiqar, Banu Raheela, Ahmad Izaz, Iqbal Javed, Safi Muhammad Ismail, Khan Faheemullah
Department of Internal Medicine, Northwest General Hospital and Research Center, Peshawar, Pakistan.
UT Southwestern Medical Center, Dallas, TX, United States.
Ann Med Surg (Lond). 2022 Oct 5;82:104770. doi: 10.1016/j.amsu.2022.104770. eCollection 2022 Oct.
Identify the association between stroke severity and the neurological outcome of an acute stroke using the National Institutes of Health stroke scale (NIHSS).
A descriptive cross-sectional study.Place and duration of study: Northwest hospital Hayatabad Peshawar.
A cross-sectional descriptive study was done in the general plus stroke unit of the northwest hospital in Peshawar, KPK during Jan 2022 to July 2022.400 admitted patients diagnosed with acute stroke in the past three months were included for NIHSS assessment and were classified as mild, moderate, or severe stroke. After entering all of the data from the collection into SPSS version 16, the information was transferred to an Excel spreadsheet. To further assess the results, the researcher and statistician evaluated all of the cases, radiological findings, and laboratory test data.
In this cross-sectional descriptive study, 400 individuals ranging from 30 to 90 years of age were divided into two groups: males and females. The survey was conducted by 49% of men and 51% of women. The stroke severity was assessed to be mild in 22% of cases, moderate in 49%, and severe in 29% of patients. As evaluated by the NIHSS, Patients with acute ischemic stroke were divided into four groups depending on their neurological outcomes: those who improved were 160 (40%), those who remained stable were 124 (31%), and those who deteriorated were 52 (13%), and those who died were 64 (16%). Patients with greater triglyceride levels were 88, while those with lower levels were 312. Acute stroke was also detected in 34% of patients with a covid history, 28% of patients who were covid positive, and 38% of patients who were covid free in this investigation.
According to our findings, the NIHSS is a reliable scale for evaluating patients' neurological outcomes and determining the association between acute stroke severity and cognitive functioning (NIHSS).
使用美国国立卫生研究院卒中量表（NIHSS）确定卒中严重程度与急性卒中神经功能结局之间的关联。
描述性横断面研究。研究地点和时长：白沙瓦哈亚塔巴德西北医院。
2022年1月至2022年7月期间，在开伯尔-普赫图赫瓦省白沙瓦西北医院的综合科室及卒中单元开展了一项横断面描述性研究。纳入过去三个月内确诊为急性卒中的400例住院患者进行NIHSS评估，并分为轻度、中度或重度卒中。将收集到的所有数据录入SPSS 16版后，信息被转移到Excel电子表格中。为进一步评估结果，研究人员和统计学家对所有病例、影像学检查结果和实验室检查数据进行了评估。
在这项横断面描述性研究中，400名年龄在30至90岁之间的个体被分为两组：男性和女性。参与调查的男性占49%，女性占51%。评估显示，22%的病例卒中严重程度为轻度，49%为中度，29%为重度。根据NIHSS评估，急性缺血性卒中患者根据其神经功能结局分为四组：病情改善的有160例（40%），病情稳定的有124例（31%），病情恶化的有52例（13%），死亡的有64例（16%）。甘油三酯水平较高的患者有88例，水平较低的有312例。在本次调查中，有新冠病史的患者中3个4%检测出急性卒中，新冠阳性患者中28%检测出急性卒中，无新冠感染的患者中38%检测出急性卒中。
根据我们的研究结果，NIHSS是评估患者神经功能结局以及确定急性卒中严重程度与认知功能之间关联的可靠量表（NIHSS）。
