The options for prognosis of the outcome of ischemic stroke in young patients

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Abstract

Objective. To develop criteria for prognosis of the outcome of ischemic stroke, taking into account age, dynamics of state assessment, the Rankin and NIHSS scales readings and the fact of disability in the long-term period. The universal reliable criteria, that allow to predict the outcome of ischemic stroke, have not been developed yet.

Material and methods. The study group consisted of 246 patients with ischemic stroke aged 18 to 44 who were observed from 2008 to 2021.

Results. It is impossible to predict disability in a long-term period of ischemic stroke reliably. Predicting the outcome of ischemic stroke using the Rankin and NIHSS scales is significant in the acute period and allows to predict the dynamics of recovery in mild and moderate cases.

Conclusion. The predictive value of the integrative indicators of the patient's condition, assessed by the Rankin and NIHSS scales, has been established.

About the authors

V. V. Gusev

Ural State Medical University; Ural Federal University Named After the First President of Russia B.N. Yeltsin; Central City Clinical Hospital № 23

Email: gusev_vadim@inbox.ru
ORCID iD: 0000-0003-2232-7074
SPIN-code: 9469-8054

Candidate of Medical Sciences, Associate Professor

Russian Federation, Yekaterinburg; Yekaterinburg; Yekaterinburg

O. А. Lvova

Ural State Medical University; Ural Federal University Named After the First President of Russia B.N. Yeltsin

Email: olvova@bk.ru
ORCID iD: 0000-0002-2280-3096

MD, PhD, Associate Professor

Russian Federation, Yekaterinburg; Yekaterinburg

O. P. Kovtun

Ural State Medical University

Email: olgakovtun@inbox.ru
ORCID iD: 0000-0002-5250-7351

MD, PhD, Professor, Academician of the Russian Academy of Sciences, Rector

Russian Federation, Yekaterinburg

N. А. Shamalov

Institute of Cerebrovascular Pathology and Stroke “Federal Brain and Neurotechnology Center”

Email: shamalovn@gmail.com
ORCID iD: 0000-0001-6250-0762

MD, PhD, Professor

Russian Federation, Moscow

A. P. Sergeev

Ural Federal University Named After the First President of Russia B.N. Yeltsin; Institute of Industrial Ecology of the Russian Academy of Sciences, Ural Department

Email: alexanderpsergeev@gmail.com
ORCID iD: 0000-0001-7883-6017

Candidate of Physical-Mathematical Sciences, Associate Professor

Russian Federation, Yekaterinburg; Yekaterinburg

M. V. Sergeeva

Institute of Industrial Ecology of the Russian Academy of Sciences, Ural Department

Email: alexanderpsergeev@gmail.com
ORCID iD: 0000-0002-9782-5185

Researcher

Russian Federation, Yekaterinburg

D. A. Medvedeva

Children`s City Clinical Hospital № 9

Author for correspondence.
Email: dmedstud@mail.ru
ORCID iD: 0000-0001-8613-5982

Physician

Russian Federation, Yekaterinburg

References

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Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. Decision tree for predicting the preservation of work capacity in a separate period of IS in young patients: N – number of patients, ID – unique identifier of a tree node, NIH – score on the NIHSS scale, RSc – score on the Rankin scale in patients in the acute period

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