Abstract

Introduction: Stroke is the one of the common health problems world-wide causing significant morbidity and mortality. Various scales are framed and validated for use in stroke trials and clinical use. Most widely used scale for stroke assessment is NIHSS scale but this scale is infrequently used in routine clinical practice. This is because of various limitations like poor representation of posterior circulation deficit and predominant motor and language representation and poor representation of fine motor & cognition deficits in this scale.
 Objective: Therefore, the purpose of the present study is to formulate a daily monitoring scale which can objectively assess and prognosticate stroke patients. Present study aims to incorporate daily examined parameters in one instrument to develop a routinely useful tool for neurologist and physician which can be simple, fast, reliable, and reproducible.
 Method: We will include GCS score, brainstem reflexes, gaze, speech, distal and proximal motor power, inattention, ataxia, sensory deficits and gait examination parameters in proposed scale. After initial pilot study (15 patients), we will include developmental cohort (400 patients) and validation cohort (60 patients) to formulate and validate this study. Outcome measures will be 30 -day mortality and morbidity assessed at day 30 and 90 with modified Rankin score and Barthel index. Total patients included will be 460 patients with follow up for 3 months
 Results: It is expected to develop simple, reliable, and reproducible scale for monitoring of acute stroke patients.

Highlights

  • Stroke is the one of the common health problems world-wide causing significant morbidity and mortality

  • According to an estimate by World Health Organization (WHO) approximately 80% of strokes will occur in people living in low- and middle-income countries by year 2030 and it will account for 7.9% of all mortality in these countries

  • Glasgow Coma Scale (GCS) which was designed for head injury patients, is used for daily monitoring of stroke patients but it lacks many vital parameters

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Summary

Introduction

Stroke is the one of the common health problems world-wide causing significant morbidity and mortality. Stroke is the common vascular disease in many parts of Asia, and as more than half of the world’s population live in this region, stroke has strong impact on health of people and economy of the countries in this region. It is second leading causes of disability and death in India too [1]. Various scales have been developed, validated, and used for assessment of stroke burden, morbidity, and mortality risk but there is no single tool to measure outcome that can predict or describe dimensions of recovery or disability after acute stroke. Various other Scales like Scandevian Stroke Scale, European Stroke scale, are extensively validated and used for research and clinical use [2,3]

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