Clinical and Subclinical Characteristics in Adults with Acute Ischemic Stroke Before Revascularization at E Hospital

Abstract

The study aimed to analyze clinical characteristics, subclinical features, risk factors, and causes in patients with acute ischemic stroke before revascularization at E Hospital. Research method: The descriptive study with retrospective and prospective data on 81 patients with acute ischemic stroke before revascularization admitted to E Hospital from November 2020 to April 2023. Results: The mean age of patients was 65 ± 13 years old. The male/female ratio was 1.3/1. 80.2% of the patients were admitted to the Emergency Department less than 3 hours after the onset of symptoms. At admission, the mean Glasgow and National Institutes of Health Stroke Scale (NIHSS) scores were 14.0 ± 1.4 and 11.3 ± 5.3, respectively. On the brain Computerized Tomography (CT) scan of an ischemic stroke, the mean Alberta Stroke Program Early CT Score (ASPECT) score for the cerebral artery blood supply area was 9.16 ± 0.92. Risk factors for stroke commonly included hypertension (64.2%), previous ischemic stroke (22.2%), diabetes (14.8%), and smoking (9.9%). Classification of causes of ischemic stroke according to Trial of ORG 10172 in Acute Stroke Treatment (TOAST): small vessel disease (35.9%), large atherosclerosis artery (22.2%), cardiac embolism (16.0%), and stroke of undetermined source (25.9%). Conclusion: Most patients with acute ischemic stroke were admitted to the hospital in a conscious state with a moderate level of stroke. Most patients with an ASPECT score above 8 had a good prognosis of treatment. Some paraclinical features, such as glucose, LDL-cholesterol, and triglyceride, remained high. The cause of acute ischemic stroke was noted to be caused by small vessel diseases. ASPECT and the time for onset to the hospital were not statistically significant.