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Deteriorating Ischemic Stroke:Risk Factors and Prognosis
Neurol 40:1865-1869, Davalos,A.,et al, 1990
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Article Abstract
To determine a risk profile of deterioration in cerebral infarction of less than 8 hours duration,we studied prospectively a series of clinical and radiologic data in 98 patients.We evaluated the Canadian Neurological Scale Score and Barthel index during a follow-up period of 3 months.There was deterioration in the 1st 48 hours in 40.8%of the patients.High systolic blood pressure,elevated blood sugar concentration at admission, and carotid territory involvement were independently related with deterioration in the logistic regression analysis.Death occurred in 35%of the patients with deteriorating infarcts and in 8.6%of those with stable infarcts.At the end of the study,functional capacity was lower in those with deteriorating infarcts,but the 2 groups improved in parallel from the 4th day onward.
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