PREDICTORS OF MORTALITY AFTER ACUTE STROKE A PROSPECTIVE HOSPITAL BASED STUDY
AbstractBackground: The stroke is third leading cause of death in world and 10% of patients with an acuteischemic stroke die within 30 days. Various clinical variables have been implicated as predictors offinal outcome of acute stroke. The study was aimed to identify predictors of mortality after an acutestroke. Material and Methods: This prospective study included 149 consecutive patients of acuteHospital Muzaffarabad, Azad Kashmir. The outcome as mortality measures used were ModifiedRanking Scale (mRS) and Glasgow Coma Scale (GCS). Examination included clinical, neurologicalevaluation, laboratory tests, and brain CT. The follow-ups at 14 days were done for all patients.Results: Hospital mortality was 17.4 % (26/149) within 14 days. Age and gender had no impact onmortality. Hypertension (p=0.008), smoking (p=0.056)), brain infarction (p=<0.001), hemorrhagicstroke (p=<0.001), diabetes (p=0.292), atrial fibrillation (p<0.001), high mRS (p<0.001), low GCSscore (p<0.001), on admission were important predictors of mortality. Conclusions: We report 17.4%mortality at 14 days. Mortality associated with acute stroke needs prevention and control of risk factors.Keywords: acute stroke; predictors; mortality, Glasgow Coma Scale, Modified Ranking Scale
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