Predicting the Need for ICU Care in Patients with Acute Ischemic Stroke

A, Khalifa; Kharusi, Adil Al; Jadidi, Abdullah Al; Malik, Mohammad Azharuddin; Khan, Rashid M.

doi:10.36348/sjm.2020.v05i12.001

SJM

2020

DOI: 10.36348/sjm.2020.v05i12.001

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Predicting the Need for ICU Care in Patients with Acute Ischemic Stroke

Khalifa A¹,

Adil Al Kharusi²,

Abdullah Al Jadidi³

et al.

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2024

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“…Zöllner et al(2020) found that the risk of acute symptomatic seizures in ischemic stroke patients signi cantly increases with higher NIHSS scores at admission. This supports our observation about the predictive value of the NIHSS score for stroke severity and subsequent outcomes Khalifa et al (2020). noted that high NIHSS scores of 15 and above predict the need for intensive care and the risk of mortality in ischemic stroke patients.…”

supporting

confidence: 90%

Impact of Prognostic Nutrition Index and Neutrophil/Lymphocyte Ratio on Outcomes in Acute Ischemic Stroke

Tanrıverdi,

Mingsar,

Düztaş

et al. 2024

Preprint

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Background This study aims to investigate the impact of the prognostic nutrition index and neutrophil-lymphocyte ratio on survival and neurological outcomes in acute ischemic stroke patients at risk of malnutrition who are monitored in Intensive Care Units. Materials and Methods This retrospective study analysed 215 patients with their first ischemic stroke admitted to the Neurology Intensive Care Unit. The prognostic nutritional index was derived from serum albumin and complete blood count within the first 24 hours using this formula: PNI = (serum albumin level [g/dL] × 10) + (total lymphocyte count [mm³] × 0.005) The prognostic nutritional index was categorised into two groups according to a cut-off value of 42.5 determined by ROC analysis. Results During the 60-day follow-up, multivariable logistic regression analysis of neurological prognosis identified the presence of coronary artery disease (Hazard Ratio [HR]: 3.9, p: 0.021), initial NIHSS score (HR: 1.16, p <0.001), and PNI (HR: 0.022, p <0.001) as independent predictors of neurological outcomes. Cox regression analysis for survival in all patients determined age (HR: 1.93, p = 0.009), initial NIHSS score (HR: 1.04, p = 0.008), BUN level (HR: 1.69, p = 0.012), and prognostic nutritional index (HR: 0.27, p = 0.007) as independent determinants of mortality. Conclusion Our findings suggest that simple, cost-effective, and readily applicable biomarkers such as the prognostic nutritional index and the neutrophil-lymphocyte ratio should be considered practical tools in patient management and predicting neurological outcomes.

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supporting

confidence: 90%

Impact of Prognostic Nutrition Index and Neutrophil/Lymphocyte Ratio on Outcomes in Acute Ischemic Stroke

Tanrıverdi,

Mingsar,

Düztaş

et al. 2024

Preprint

View full text Add to dashboard Cite

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Predicting the Need for ICU Care in Patients with Acute Ischemic Stroke

Cited by 1 publication

References 0 publications

Impact of Prognostic Nutrition Index and Neutrophil/Lymphocyte Ratio on Outcomes in Acute Ischemic Stroke

Impact of Prognostic Nutrition Index and Neutrophil/Lymphocyte Ratio on Outcomes in Acute Ischemic Stroke

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