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BMC Neurology

, 16:140

Cerebrovascular disease and stroke

Abstract

BackgroundLittle is known about the incidence and risk factors of early consciousness disorder ECD in patients with acute ischemic stroke, or about how ECD may affect complications and outcomes.

MethodsPatients admitted to our hospital within 24 h of onset of acute ischemic stroke were consecutively enrolled. ECD was evaluated clinically and using the Glasgow coma scale. Multivariate analysis was used to identify risk factors of ECD, as well as associations between ECD and clinical outcomes.

ResultsOf the 569 patients enrolled, 199 35 % had ECD. Independent risk factors of ECD were advanced age OR 1.027, 95 % CI 1.007 to 1.048, National Institutes of Health Stroke Score on admission OR 1.331, 95 % CI 1.257 to 1.410, and massive cerebral infarct OR 3.211, 95 % CI 1.642 to 6.279. ECD was associated with higher frequency of stroke-related complications 83.4 % vs. 31.1 %, P < 0.001 and higher in-hospital mortality 17.1 % vs. 0.5 %, P < 0.001. ECD independently predicted 3-month death-disability OR 3.272, 95 % CI 1.670 to 6.413.

ConclusionsECD is prevalent in Chinese patients with acute ischemic stroke. Risk factors include advanced age, stroke severity, and massive cerebral infarct. ECD is associated with higher frequency of stroke-related complications and 3-month death-disability.

KeywordsIschemic stroke Early consciousness disorder Occurrence Risk factor Complication Outcome AbbreviationsECDEarly consciousness disorder

CTComputed tomography

MRIMagnetic resonance imaging

mRSModified Rankin Scale

NIHSSNational Institutes of Health Stroke Scale

GCSGlasgow coma scale

ORsOdds ratios

95 % CIs95 % confidence intervals

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Autor: Jie Li - Deren Wang - Wendan Tao - Wei Dong - Jing Zhang - Jie Yang - Ming Liu

Fuente: https://link.springer.com/



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