Author/Authors :
Altafi، Davar نويسنده Department of Neurology, Ardabil University of Medical Sciences, Ardabil, Iran , , Hosseini Khotbesara، Maryam نويسنده Department of Medicine, Ardabil Branch, Islamic Azad University, Ardabil, Iran , , Hosseini Khotbesara، Mahsa نويسنده Department of Medicine, Guilan University of Medical Sciences, Rasht, Guilan, Iran , , Bagheri، Amin نويسنده Tehran University of Medical Sciences, Tehran, Iran ,
Abstract :
Stroke is the third common reason of death in worldwide. Utility of the national Institutes of health stroke scale as a predictor of care disposition among stroke patients on admission could reduce the costly process, rehabilitation and unnecessary length of stay at hospital and with regard to the impact of cerebrovascular accident risk factors in developing atherosclerosis; we decided to do this study. In this study 100 patients with ischemic stroke were evaluated who their average age was 65.83±15.32 years and also 54.54% were men and 46% were women. 25% of patients were with no stroke risk factors and 45% were with one risk factor. 50% had hypertension, 13% diabetes, 18% hyperlipidemia, 14% a recent MI history and 31% had smoking history. NIHSS average among patients was 6.59±4.33 and majority of patients were in minor range. NIHSS level were evaluated with gender (p=0.058), age (p=0.876), HTN (P=0.070), HLP (P=0.103), DM (P=0.999), and history of MI (P=0.262) and history of CVA (P=0.964) and also NIHSS level with smoking (P=0.109). We concluded that multiple vascular risk factors is not compatible with the severity of clinical symptoms and worsening of neurological symptoms based on NIHSS score in patients with CVA. It shows that CVA with high NIHSS score could possibly occur even in patients without vascular risk factors due to absence of collateral vessels in the brain and not response of brain hemodynamic. Hence it is necessary to consider CVA as a diagnostic and therapeutic priority in patients without vascular risk factors.
