The Longterm Prognostic Factors After Acute Cerebral Infartion

J Korean Neurol Assoc > Volume 13(4); 1995 > Article

Journal of the Korean Neurological Association 1995;13(4): 806-814.

급성 허혈성 뇌졸중의 장기 예후에 영향을 주는 요인들

정원영, 임건한, 오형균, 이승헌, 나정균

조선대학교 신경과

The Longterm Prognostic Factors After Acute Cerebral Infartion

Won Young Jung, M.D., Gun Han Lim, M.D., Hyung Gyun Oh, M.D., Seung Heon Lee, M.D., Jeong Gyun Na, M.D.

Department of Neurology, Chosun University Medical College

Abstract

Background & Objectives : There are few reports of affecting factors of the longterm prognosis after acute ischemic stroke. The aim of this prospective study was to determine which variables, of those easily measurable during the first 24 hours after stroke onset, would be predictors of longterm outcome. Method : Ninety-eight patients with an acute ischemic stroke were evaluated within 24 hours after symptom onset. The following potential affecting factors of outcome were prospectively collected : demographic datas, socioeconomic factors, risk factors of cerebrovascular accidents, clinical f indings as measured by the National Institute of Health (NIH) scale, laboratory findings and premorbid varibles rated according to modified Rankin score (mRS). We evaluated the outcome, assessed with mRS as good (mRS 3 or less) and poor (mRS 4, 5 or death) and follow up was undertaken at 6, 12, 18 and 24 months after onset. The statistical analysis was performed by means of SPSS/PC+package to determine the longterm prognostic factors. Results : The multiple stepwise regression analysis revealed that the outcome depend on NIH scale(p<0.001), age (p<0.01), previous stroke(p<0.01), loss of consciousness (LOC) at onset (p