Analysis of prognosis factors for acute stroke patients
10.3760/cma.j.issn.1671-8925.2015.09.013
- VernacularTitle:急性脑卒中患者预后相关因素分析
- Author:
Juan WANG
1
;
Wenzhi CAI
;
Jingxin WANG
;
Xiaomei ZHANG
;
Suyue PAN
Author Information
1. 南方医科大学南方医院神经内科
- Keywords:
Stroke;
Prognosis;
Risk factor
- From:
Chinese Journal of Neuromedicine
2015;14(9):927-931
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors associated with prognosis of stroke patients.Methods A total of 551 stroke patients from 5 third class A hospital in Guangzhou from May 2014 to August 2014,were recruited.The clinical data and prognosis 3 months after follow up of these patients were collected and Logistic regression analysis was used to analyze the influencing factors of stroke prognosis.Results Good prognosis was noted in 311 patients (56.4%) and bad one was noted in 240 patients (43.6%);age,education degree,watcher,temperature,NIHSS and Barthel index (BI) scores,hospital stays,stroke frequency,dysphagia,urinary incontinence,coronary heart disease,smoking history and total cholesterol levels between patients with good or bad prognosis were significantly different (P< 0.05).Logistic regression analysis showed that major factors for stroke prognosis included age,temperature,NIHSS and BI scores,hospital stays,stroke frequency and urinary incontinence.Conclusions Patients with age≥60 years,temperature>37 ℃,high NIHSS scores,serious defects of activities of daily living,long hospital stays,recurrent stroke,post-stroke urinary incontinence trend to have poor prognosis,therefore,these patients should be targeted to plan intervention program to improve the life quality.