Complications and Outcome of Acute Ischemic Stroke.

Chennappan, C (2014) Complications and Outcome of Acute Ischemic Stroke. Masters thesis, Madras Medical College, Chennai.


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Stroke is an important cause of disability and second most common cause of death, worldwide. Developing countries account for two thirds of death due to stroke. As per the recent reports, the incidence and thirty day fatality rate is more in India when compared to developed countries. The final outcome of stroke patients has been improved with various strategies like early diagnosis, early prophylactic treatment, early recognition of complications and mobilization. Although the direct effect of brain damage is the main cause for immediate mortality after stroke, the early mortality that occur within the first month after an acute stroke is commonly due to preventable medical complications, that occur either early or late during the course of recovery from stroke. These complications can be infections, neurologic-like recurrent stroke or seizures, thromboembolism, psychological problems, pain, and bed sores. High incidence of complications, ranging from 40% to 95%, following stroke have been found in previous studies. There have been many limitations in the previous studies of complications of acute stroke. Individual complications have been concentrated in most published studies. Different diagnostic criteria were also used in these studies to classify the complications. A multicenter study (CAST-1) was conducted to examine the frequency and the factors associated with complications in acute stroke, as well as complications that could influence the outcome. Identifying the complications will aid the development of preventive strategies aimed at improving outcome after stroke. CONCLUSION : In our study, the rate of medical complications was high in patients with acute ischemic stroke and those patients were found to have a poor outcome. Hence early diagnosis and prompt treatment of these complications is needed, in order to improve the outcome and thereby the quality of life of patients after stroke.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Acute Ischemic Stroke ; Complications ; Outcome.
Subjects: MEDICAL > Neurology
Depositing User: Kambaraman B
Date Deposited: 30 Jun 2017 02:39
Last Modified: 30 Jun 2017 05:37

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