Outcome of stroke patient requiring ICU admission

Abstract

Introduction: Stroke patients that are ventilated in the ICU have a very poor outcome at one year (92% mortality), which appeared to be related to the neurological status (Glasgow Coma Scale Score < 10) at presentation (ICM 1994; 20:32-6.) We sought to examine the outcome (mortality and functional status) of stroke patients with and without ICU admission from our stroke registry. Method: 948 consecutive stroke patients in a single institution were admitted to the stroke registry prospectively and follow-up was performed for 3 years. Stroke types were confirmed with a CT brain scan. The GCS score was recorded on presentation. Survival status and functional status (Rankin score) was evaluated. Results: Patients' characteristics Number of patient Male sex Age in years (mean ± sd.) Median GCS score Stroke type: Infarct ICU patients 108 (11.4%) 61 (56.5%) 58.2 ± 12.6 9 39 (36.1%) Non-ICU pts 840 (88.6%) 418 (49.8%) 65.1 ± 13.8 15 721 (85.8%) Outcome variables Length of hospital stay i day (mean ± sd.) 30-day mortality 1-year mortality Patient with no, or minimum disability at 1 year ICU patients 29.3 ± 47.4 52 (48.1%) 62 (57.4%) 23 (21.3%) Non-ICU pts 15.6 ± 19.2 107 (12.7%) 187 (22.3%) 428 (51.0%) Using a Cox regression model, the most significant predictor of death at 1-year are: GCS score