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Predictors of Mortality in Stroke - An Observation at Tertiary Care Centre

Background: Stroke, ischemic or hemorrhagic has been continued to be one of the major causes of in-hospital mortality. To reduce the overall burden of stroke in the society an organized approach in needed to predict mortality and morbidity in stroke especially aggressive management for complications of stroke. Aims and objectives: To study mortality predictors in indoor patients of stroke. Material and Methods: The present study was a prospective observational study done in the department of General Medicine, Jawaharlal Nehru Hospital & Research Centre Bhilai, Chhattisgarh during the period of December 2017 to December 2018. Results: Mean age of stroke patients in our study was 65.73±8.16 years. Males were more affected by stroke than females (67% vs 33%). Mortality among ischemic stroke was 10.71% and among hemorrhagic stroke, it was 37.5%. Mean NIHSS score was 21.6±5.08 among expired and mean GCS score was 4.53±1.64 among expired. Among presenting complaints highest mortality was associated with complaint of total loss of consciousness (36.33%). Atrial fibrillation among risk factors had highest mortality (54.55%). Mean random blood glucose among expired was 175±97.36 mg/dl. Mean creatinine was 2.5±1.14 mg/dl among expired. Out of total 100 patients, 13 had history of kerosene ingestion among those 8 patients died (61.54%). Conclusion: Ischemic strokes were more common than hemorrhagic strokes, but the latter had higher mortality. Total loss of consciousness was associated with highest mortality among subjects. Along with hyperglycemia, renal dysfunction, High NIHSS, low GCS score, local malpractices like feeding kerosene oil to the patient had unpredictable adverse effect over prognosis of stroke.