Predicting Acute Ischaemic Stroke Outcome Using Clinical and Temporal Thresholds
Joint Authors
Cassarini, Jean-François
Belahsen, Faouzi
Moulin, Thierry
Medeiros de Bustos, Elisabeth
Tatu, Laurent
Decavel, Pierre
Vuillier, Fabrice
Sablot, Denis
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-09-06
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Few studies have analysed the natural course of cerebral ischaemia for predicting outcome.
We aimed to determine the early clinical findings and the thresholds for deficit severity and symptom duration that make it possible to stratify outcome.
Methods.
We included 154 patients with transient ischaemic attack or ischaemic stroke.
Stroke profiles and neurological status were assessed from onset to 24 hrs, on admission, at 48 hrs, and at discharge.
Outcomes were evaluated using the modified Rankin Scale.
Positive and negative predictive values were calculated for the different thresholds.
The model was subsequently evaluated on a new prospective cohort of 157 patients.
Results.
Initial National Institute of Health Stroke Scale (NIHSS) score <5 and symptoms regressing within 135 min were predictive of good outcome.
Initial NIHSS score >22 and symptom stability after 1,230 min were predictive of physical dependency or death.
Conclusions.
Low and high NIHSS cut-off points are effective positive predictive values for good and poor outcomes.
Thresholds for symptom duration are less conclusive.
American Psychological Association (APA)
Sablot, Denis& Belahsen, Faouzi& Vuillier, Fabrice& Cassarini, Jean-François& Decavel, Pierre& Tatu, Laurent…[et al.]. 2011. Predicting Acute Ischaemic Stroke Outcome Using Clinical and Temporal Thresholds. ISRN Neurology،Vol. 2011, no. 2011, pp.1-9.
https://search.emarefa.net/detail/BIM-465319
Modern Language Association (MLA)
Sablot, Denis…[et al.]. Predicting Acute Ischaemic Stroke Outcome Using Clinical and Temporal Thresholds. ISRN Neurology No. 2011 (2011), pp.1-9.
https://search.emarefa.net/detail/BIM-465319
American Medical Association (AMA)
Sablot, Denis& Belahsen, Faouzi& Vuillier, Fabrice& Cassarini, Jean-François& Decavel, Pierre& Tatu, Laurent…[et al.]. Predicting Acute Ischaemic Stroke Outcome Using Clinical and Temporal Thresholds. ISRN Neurology. 2011. Vol. 2011, no. 2011, pp.1-9.
https://search.emarefa.net/detail/BIM-465319
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-465319