JOURNAL OF EVIDENCE BASED MEDICINE AND HEALTHCARE

Table of Contents

2019 Month : March Volume : 6 Issue : 9 Page : 691-696

COMPARATIVE STUDY OF NEUROLOGICAL (NATIONAL INSTITUTES OF HEALTH STROKE SCALE AND GLASGOW COMA SCALE) AND FUNCTIONAL (MODIFIED RANKIN SCALE) (MODIFIED BARTHEL INDEX) OUTCOME IN PATIENT’S OF ISCHEMIC VERSUS HAEMORRHAGIC STROKE IN FIRST 30 DAYS

J. Vijaya Bhaskararao1, T. Tulasi Madhuri2, Moka Apparao3

Corresponding Author:
Dr. T. Tulasi Madhuri,
Assistant Professor,
Department of Pharmacology,
GITAM Institute of Medical Sciences and Research, Visakhapatnam- 530 045, Andhra Pradesh, India.
E-mail: dr.madhu83@gmail.com
DOI: 10.18410/jebmh/2019/144

ABSTRACT
BACKGROUND
Stroke is one of the leading causes of mortality and morbidity worldwide. Stroke is a life-changing event that affects not only the person who may be disabled, but their family and caregivers also.

MATERIALS AND METHODS
Inclusion Criteria: Patients diagnosed to have various form of strokes and who are willing to participate in the study.
Exclusion Criteria: Pregnant women, patients with life threatening co morbid conditions and who are not willing to participate in the study.

RESULTS
Among these ischemic stroke (71%) (no. =213) patients 69.33% had arterial (no. =208) and 1.66% had venous infarcts (no. =5). Among arterial ischemic strokes commonest arterial territories involvement is middle cerebral artery 56%, anterior cerebral artery 9.33% and posterior circulation is 4%. Hemorrhagic Stroke: Most common locations of bleed in our study are capsuloganglionic 12.33% (n=37) followed by lobar 7.33% (n=22) and thalamus 6.33% (n=19). Other least common sites are Cerebellar 1.33% (n= 4), pons 1% (n=3) and others 0.66% (n=2).

CONCLUSION
Hypertension is commonest Risk factor about 57.33% in our study, followed by other risk factors like smoking 28.33% and diabetes 25.66%. Moreover, no single measure fully describes or predicts all dimensions of stroke recovery and disability. Despite that NIHSS(score21-42) and GCS (GCS <8) can be used as a predictive value for assessment initial stroke severity and prognostic tool within the first 30 days in acute stroke being a simple scale, especially in countries with poor resources like India.

KEYWORDS
National Institutes Health Stroke Scale, Glasgow coma scale, Modified Rankin Scale, Barthel Index.