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J Korean Neurol Assoc. 1995;13(4):806-814.
- The Longterm Prognostic Factors After Acute Cerebral Infartion
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Won Young Jung, M.D., Gun Han Lim, M.D., Hyung Gyun Oh, M.D., Seung Heon Lee, M.D., Jeong Gyun Na, M.D.
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Department of Neurology, Chosun University Medical College
- 급성 허혈성 뇌졸중의 장기 예후에 영향을 주는 요인들
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정원영, 임건한, 오형균, 이승헌, 나정균
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조선대학교 신경과
- Abstract
- Background
& Objectives : There are few reports of affecting factors of the longterm prognosis after acute ischemic stroke. The aim of this prospective study was to determine which variables, of those easily measurable during the first 24 hours after stroke onset, would be predictors of longterm outcome.
Method : Ninety-eight patients with an acute ischemic stroke were evaluated within 24
hours after symptom onset. The following potential affecting factors of outcome were
prospectively collected : demographic datas, socioeconomic factors, risk factors of
cerebrovascular accidents, clinical f indings as measured by the National Institute of
Health (NIH) scale, laboratory findings and premorbid varibles rated according to
modified Rankin score (mRS). We evaluated the outcome, assessed with mRS as good
(mRS 3 or less) and poor (mRS 4, 5 or death) and follow up was undertaken at 6, 12,
18 and 24 months after onset. The statistical analysis was performed by means of
SPSS/PC+package to determine the longterm prognostic factors.
Results
: The multiple stepwise regression analysis revealed that the outcome depend on
NIH scale(p<0.001), age (p<0.01), previous stroke(p<0.01), loss of consciousness (LOC)
at onset (pConclusion
: Besides age and severity, history of previous stroke could affect longterm
outcome. These data highlights the importance of longterm secondary of vascular events
in stroke patients.
Keywords :
- 초록
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