Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
232 0 |
Căutarea după subiecte similare conform CZU |
616.831-005.1-084 (1) |
Neurologie. Neuropatologie. Sistem nervos (971) |
SM ISO690:2012 COSTRU-TAŞNIC, Elena. Application of clinical scores in the prediction of hemorrhagic transformation of ischemic stroke . In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 260. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.831-005.1-084 | ||||||
Pag. 260-260 | ||||||
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Background. Hemorrhagic transformation (HT) may complicate ischemic strokes (IS) by worsening the clinical course and recovery of patients. Objective of the study. Analysis of clinical parameters in in acute IS patients to establish the role of clinical scores for the prediction of HT. Material and methods. We have prospectively analyzed the data of 80 patients with acute ischemic stroke admitted within the first 24 hours after the symptom’s onset. All patients were investigated by CT at admission and repeated CT during hospitalization to highlight cases of HT. Stroke severity scores were calculated for all IS patients, including: NIHSS, SPAN-100, THRIVE. The degree of functional recovery was established based on the modified Rankin scale (mRS) at discharge and at 3 months follow-up. Results. In the analyzed group, 11 out of the 80 patients included in the research presented HT of ischemic stroke. HT patients were older (74.27 ± 3.08 years vs 70.66 ± 1.25 years) and presented worse functional recovery at discharge (mRS 5 vs. 3.68) and at 3 months follow-up (mRS 4.8 vs. 3.12). The stroke severity scores in the HT patients had higher values compared to the non-HT group: NIHSS at admission – 15.54 ± 1.32 vs. 11.23 ± 0.77; SPAN-100 – 90.63 ± 4.08 vs 82.13 ± 1,63; THRIVE – 5.54 ± 0.52 vs. 3.95 ± 0.23. Conclusions. The preliminary results of the research indicate the presence of a correlation between increased values of stroke clinical severity scores and the risk for HT. The continuation of the study with homogenization of the research groups will allow the evaluation of the primary data by obtaining statistically significant results. |
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Cuvinte-cheie ischemic stroke, hemorrhagic transformation, clinical scores, accident vascular cerebral ischemic, transformare hemoragică, scoruri clinice |
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