Abstract :
Need for the study: In view of the long-term disabilities caused by stroke the need for an accurate early prediction of future functional abilities is paramount for setting therapeutic goals, starting early rehabilitation planning, implementing home adjustments and community support tailored to patients needs, and informing patients about their prospects and prognosis.in this study we have assessed significance of the national institute of health stroke scale (NIHSS) score on the day of admission in predicting the severity and outcome on 30th day ,in acute stroke patients.
Materials and Methods: It is a observational prospective study, study conducted on 93 patients of stroke who were admitted in Shri B M Patil Medical College hospital who were diagnosed and admitted with acute stroke on the basis of the History, Clinical examination and proved on CT/MRI scan. Patients were selected on the basis of the inclusion and exclusion criteria. NIHSS score is noted on the day of admission and then after 30days of stroke and the patient is independent at home or requires assistance is also noted and statistically analyzed. This study was conducted between December 2017 to July 2019.
Results: In this study, after 1 month of stroke among 3 patients who had baseline NIHSS score 1-4, all 3(100%) are independent at home, among 73 patients who had baseline NIHSS score 5-15, 47(64.4%) are independent and 26(35.6%) required assistance, among 7 patients who had score 16-20, 1(14.3%) patient was independent at home, 6(85.7%) required assistance, and among 10 patients who had score more than 20, 7(70%) died, 3(30%) required assistance and none of them are home independent. With the p value
Conclusion: Baseline NIHSS score helps in predicting the outcome of the patient. Lesser the baseline score better will be the outcome.
Keyword :
NIHSS Score, Stroke, MRI, CT Scan.