Ischemic stroke demographics, clinical features and scales and their correlations: an exploratory study from Jordan

Khaled Z Alawneh; Majdi Al Qawasmeh; Liqaa A Raffee; Abdel-Hameed Al-Mistarehi

doi:10.2144/fsoa-2022-0017

Ischemic stroke demographics, clinical features and scales and their correlations: an exploratory study from Jordan

Future Sci OA. 2022 Aug 5;8(7):FSO809. doi: 10.2144/fsoa-2022-0017. eCollection 2022 Aug.

Authors

Khaled Z Alawneh¹, Majdi Al Qawasmeh², Liqaa A Raffee³, Abdel-Hameed Al-Mistarehi⁴

Affiliations

¹ Department of Diagnostic Radiology & Nuclear Medicine, Faculty of Medicine, Jordan University of Science & Technology, Irbid, 22110, Jordan.
² Department of Neurology, Faculty of Medicine, Jordan University of Science & Technology, Irbid, 22110, Jordan.
³ Department of Accident & Emergency Medicine, Faculty of Medicine, Jordan University of Science & Technology, Irbid, 22110, Jordan.
⁴ Department of Public Health & Family Medicine, Faculty of Medicine, Jordan University of Science & Technology, Irbid, 22110, Jordan.

Abstract

Aims: The authors aimed to assess the ischemic stroke risk factors and scales.

Materials & methods: A retrospective cohort study was conducted on patients with acute ischemic stroke (from January 2017 to December 2018). The scores of the National Institutes of Health Stroke Scale (NIHSS) at admission and discharge and of the modified Rankin Scale (mRS) and Barthel Index (BI) scale post-month of the stroke were collected.

Results: Out of 376 patients, 359 were included, with a mean (standard deviation) age of 67.8 (12.2) years and male predominance (56.2%). Hyperlipidemia and hypertension were the most prevalent comorbidities (91.1% and 80.5%, respectively). The NIHSS, BI and mRS scores were worse among women, with no significant effects for comorbidities. The NIHSS scores at admission and discharge were significantly correlated with the post-month BI and mRS scores.

Conclusion: The study findings suggest a complex interplay of gender, strict control and prevention of the modifiable stroke risk factors, as well as the association of neurological deficits' intensity with the functional outcomes.

Keywords: BI; Barthel Index; NIHSS; gender; hyperlipidemia; hypertension; ischemic stroke; mRS; modified Rankin Scale; risk factors; stroke.