Evaluation of Factors Affecting the Outcome of Acute Ischaemic Stroke in Elderly Patients: A Tertiary Care Center Study
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Abstract
Introduction: Stroke is a major cause of mortality and disability, with elderly patients at higher risk. Ischemic stroke, the most common type, results from embolic or thrombotic arterial occlusion. Prognostic assessment is essential for guiding management and rehabilitation. This study evaluates prognostic factors in elderly acute ischemic stroke patients, particularly the National Institutes of Health Stroke Scale (NIHSS) and Orpington Prognostic Scale (OPS). Materials and Methods: This prospective observational study included 50 patients aged ≥60 years diagnosed with acute ischemic stroke. Clinical history, neurological exams, NIHSS scoring, and radiological investigations were conducted. Follow-up at six months assessed functional recovery using OPS. Statistical analysis was performed using SPSS v20.0. Results: The mean age was 71 years, with a male predominance (66%). Hypertension (66%) and diabetes (48%) were key risk factors. Fever (>38°C) correlated with poor outcomes (55% mortality/worsening). NIHSS >21 and GCS <8 predicted worse prognosis. At follow-up, 60% improved, while 14% worsened or died. Conclusion: Strict blood pressure and glucose control, early rehabilitation, and stroke unit care improve prognosis. NIHSS and OPS are valuable for assessing stroke severity and outcomes.
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Copyright (c) 2025 Mohammed Fasahatulla Khan, Hiya Mehta, Abhiram Bhave, Sangeeta Pednekar, Shreekumar S, Akshay Malunjkar, Rahul Milind Patil, Siddhesh Shailesh Mohite, Abhijit Anant Ghase, Charulata Londhe, Raed A. Kalsekar, Alhad A. Mulkalwar
This work is licensed under a Creative Commons Attribution 4.0 International License.
Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.
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