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Neurology: Large Prospective Multicenter Stroke Study: Acute Stroke (AIS) Patients with Early Consciousness Disorder (ECD) Have Higher Mortality, Worse Discharge Outcomes, and Mortality Is More Associated with Life-Sustaining Treatment

 Last Update: 2022-04-22
 Source: Internet
 Author: User

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Stroke is the second most common cause of death and the third most common cause of disability in the world
.

Among patients with severe acute ischemic stroke (AIS) admitted to the intensive care unit , only 25% achieved mild or no disability at 12 months of follow-up

StrokeAcute Ischemic Stroke (AIS) Life Sustaining Treatment (WOLST) Early Consciousness Disorder (ECD)

We sought to assess the prognostic impact of ECD after AIS using data from the Florida Stroke Registry Hospital-Stroke Guidelines -Stroke® (GWTG-S) study participating in the AHA GET
.

In addition, the presence or absence of ECD status was used to report the temporal trend of WOLST from 2010 to 2019

We sought to assess the prognostic impact of ECD after AIS using data from the Florida Stroke Registry Hospital-Stroke Guidelines -Stroke® (GWTG-S) study participating in the AHA GET

Researchers surveyed AIS patients at 122 Florida hospitals enrolled in the Florida Stroke Registry from 2010-2019
.

The effects of ECD on in-hospital mortality, WOLST, walking status at discharge, length of hospital stay, and discharge disposition were investigated

Of the 238,989 patients with AIS, 32,861 (14%) developed ECD at the time of stroke
.

Overall, the mean age was 72 (61 in Q1, 82 in Q3), 49% were female, 63% were white, 18% were black, and 14% were Hispanic

In this large prospective multicenter stroke registry, patients with AIS presenting with ECD had higher mortality and worse discharge outcomes

Alkhachroum A, Bustillo AJ, Asdaghi N, et al.
Association of Acute Alteration of Consciousness in Patients With Acute Ischemic Stroke With Outcomes and Early Withdrawal of Care [published online ahead of print, 2022 Feb 15].
Neurology.
2022;10.
1212/WNL .
0000000000200018.
doi:10.
1212/WNL.
0000000000200018 Leave a message here

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