The relationship between musekna index and stroke severity in patients with acute ischemic stroke

Authors : Ünal ÖZTÜRK, Önder ÖZTÜRK, Yusuf TAMAM

Pages : 5-10

View : 37 | Download : 12

Publication Date : 2020-03-23

Article Type : Research Paper

Abstract :Acute stroke is an important cause of morbidity and mortality. Prediction tools are especially helpful in this situation in guiding for medical treatment decision. It is found that prognostic index is predictor of mortality and heart failure in patients with ischemic heart failure implanted with an ICD, the prognostic index insert ignore into journalissuearticles values(PI); being built according to the formula: 120 - age + mean 24 h systolic blood pressure - insert ignore into journalissuearticles values(creatinine * 10);. However, a mean 24 h systolic blood pressure calculation is not clinically easy. Therefore, we propose a new modified prognostic index insert ignore into journalissuearticles values(Musekna Index);. Musekna Index insert ignore into journalissuearticles values(MI); was calculated as “120 - age + mean arterial pressure - insert ignore into journalissuearticles values(creatinine * 10);”. In this study, we aimed to investigate the relationship between MI and stroke severity in patients with acute ischemic stroke. This cross-sectional study included 162 patients insert ignore into journalissuearticles values(males, 64; females, 98; 67 ± 15 years); with acute ischemic stroke. Patients were divided into two groups based on the calculated National Institutes of Health Stroke Scale insert ignore into journalissuearticles values(NIHSS); score insert ignore into journalissuearticles values(Group 1, NIHSS score < 16; Group 2, NIHSS score ≥ 16);. Demographic, clinical, and laboratory data for all patients were collected. Musekna Index insert ignore into journalissuearticles values(Modified Prognostic Index); was calculated as “120 - age + mean arterial pressure - insert ignore into journalissuearticles values(creatinine * 10);”. MI index was calculated admission to the neurology care unit. Echocardiographic examinations were performed using the parasternal longitudinal axis and apical 4-chamber windows in accordance with the recommendations of the American Echocardiography Committee. There were no significant differences among the demographic parameters of patients. MI was significantly higher in Group 1 patients than in Group 2 patients insert ignore into journalissuearticles values(139±15.6 vs 132±13.7, p=0.028);. Our results suggest that MI is associated with stroke severity on admission in patients with acute ischemic stroke. 
Keywords : ischemic stroke, mortality, Musekna index, stroke severity

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