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Predictors of mortality after acute stroke a prospective hospital based study.

BACKGROUND
The stroke is third leading cause of death in world and 10% of patients with an acute ischemic stroke die within 30 days. Various clinical variables have been implicated as predictors of final outcome of acute stroke. The study was aimed to identify predictors of mortality after an acute stroke.


MATERIAL AND METHODS
This prospective study included 149 consecutive patients of acute Hospital Muzaffarabad, Azad Kashmir. The outcome as mortality measures used were Modified Ranking Scale (mRS) and Glasgow Coma Scale (GCS). Examination included clinical, neurological evaluation, 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 on mortality. Hypertension (p = 0.008), smoking (p = 0.056)), brain infarction (p = < 0.001), hemorrhagic stroke (p = < 0.001), diabetes (p = 0.292), atrial fibrillation (p < 0.001), high mRS (p < 0.001), low GCS score (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.