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- W2307237788 abstract "OBJECTIVE: We sought to determine the odds of good outcomes in patients with GCS > NIHSS on admission. BACKGROUND: High scores on the Glasgow Coma Scale (GCS) are associated with better outcomes following stroke, and low scores on the National Institutes of Health Stroke Scale (NIHSS) are associated with better outcomes following stroke. Few studies have analyzed the dual predictive power of both scores for stroke outcomes. DESIGN/METHODS: Patients were selected from our prospective registry if they presented to our stroke center with acute ischemic stroke (AIS) or intracerebral hemorrhage (ICH) between 6/07 and 8/13. Patients without documented NIHSS and GCS at baseline were excluded. After univariate analysis for significant differences between patients with GCS > NIHSS, we controlled for known covariates in multivariate logistic regression to analyze outcomes. RESULTS: Among the 871 patients who met our criteria, 613 (70.38%) had AIS and 258 (29.62%) had ICH. Even after adjusting for age, gender, and race, patients with GCS > NIHSS were over 18 times as likely to have good functional outcome (mRS 0-2) (OR=18.35, 95% CI 10.8446-31.0622, p < 0.001), 7 times as likely to have favorable discharge disposition (OR=7.21, 95% CI 4.8416-10.7487, p < 0.001), and 93% less likely to die in-hospital (OR=0.07, 95% CI 0.0367-0.1178, p < 0.001) compared to those with GCSNIHSS was only predicted by small vessel etiology (OR=10.88, 95% CI 4.1593-28.4823, p < 0.001), followed by cryptogenic no cause (OR=2.80, 95% CI 1.5493-5.0432, p=0.001) after controlling for demographic covariates. CONCLUSIONS: Our results indicate that the ratio of GCS to NIHSS can be a clinically useful tool to stratify patients according to predicted outcomes, particularly when used in conjunction with the TOAST classification system. Disclosure: Dr. Friedant has nothing to disclose. Dr. Monlezun, Jr has nothing to disclose. Dr. George has received research support from Tulane University School of Medicine. Dr. El Khoury has nothing to disclose. Dr. Martin-Schild has nothing to disclose." @default.
- W2307237788 created "2016-06-24" @default.
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- W2307237788 date "2014-04-08" @default.
- W2307237788 modified "2023-09-24" @default.
- W2307237788 title "GCS Greater Than NIHSS Baseline And TOAST Predicts Better Outcomes In Stroke Patients (P1.119)" @default.
- W2307237788 hasPublicationYear "2014" @default.
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