In:
European Neurology, S. Karger AG, Vol. 76, No. 3-4 ( 2016), p. 105-111
Abstract:
〈 b 〉 〈 i 〉 Background: 〈 /i 〉 〈 /b 〉 We aimed to determine the predictive factors for excellent or extremely poor functional outcome in patients with first-ever atrial fibrillation (AF)-related cardioembolic stroke. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 Retrospective observational study from a database. Patients with AF-related cardioembolic stroke with a premorbid modified Rankin Scale (mRS) score of 0 or 1 and without a previous history of stroke were included. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 Factors associated with excellent functional outcome (mRS scores of 0 or 1; n = 77; 30.4% of patients) included age 〉 78 years (OR 0.31, 95% CI 0.15-0.61), male sex (OR 2.16, 95% CI 1.04-4.60), absence of hypertension (OR 0.46, 95% CI 0.22-0.94) and initial National Institutes of Health Stroke Scale (NIHSS) score of 〉 9 (OR 0.08, 95% CI 0.03-0.16). Factors associated with extremely poor functional outcome (mRS scores of 5 or 6; n = 63; 24.9%) included age 〉 78 years (OR 3.30, 95% CI 1.54-7.39), initial NIHSS score of 〉 9 (OR 12.38, 95% CI 5.40-32.56), congestive heart failure (OR 4.82, 95% CI 2.00-12.19) and ischemic heart disease (OR 4.02, 95% CI 1.18-14.69). 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 Predictive factors exist to delineate excellent and extremely poor functional outcomes after a first-time stroke associated with AF.
Type of Medium:
Online Resource
ISSN:
0014-3022
,
1421-9913
Language:
English
Publisher:
S. Karger AG
Publication Date:
2016
detail.hit.zdb_id:
1482237-4
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