Wang et al developed a model for predicting 1-year mortality for a patient with an acute ischemic stroke. This can help to identify a patient who may benefit from more aggressive management. The authors are from John Hunter Hospita in Australia.
Patient selection: acute ischemic stroke
Outcome: mortality at 1 year
Parameters:
(1) level of consciouisness
(2) dysphagia
(3) urinary incontinence
(4) laterality of findings
(5) body temperature
(6) ischemic heart disease
(7) peripheral vascular disease
(8) diabetes mellitus
|
Parameter |
Finding |
Points |
|
level of consciousness |
unconscious |
3 |
|
|
not unconscious |
0 |
|
dysphagia |
absent |
0 |
|
|
present |
7 |
|
urinary incontinence |
absent |
0 |
|
|
present |
9 |
|
laterality of findings |
unilateral (left or right) |
0 |
|
|
bilateral |
4 |
|
body temperature |
hyperthermia |
4 |
|
|
no hyperthermia |
0 |
|
ischemic heart disease |
absent |
0 |
|
|
present |
3 |
|
peripheral vascular disase |
absent |
0 |
|
|
present |
3 |
|
diabetes mellitus |
absent |
0 |
|
|
present |
2 |
total score =
= SUM(points for all 8 parameters)
Interpretation:
• minimum score: 0
• maximum score: 35
• The higher the score the worse the survival.
• A score >= 10 was considered high risk with a 1 year-mortality rate of 76%
Specialty: Neurology
