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Lar'kin V.I.

Omskaia gosudarstvennaia meditsinskaia akademiia, Oblastnaia klinicheskaia bol'nitsa, Omsk

Bort A.A.

Omskaia gosudarstvennaia meditsinskaia akademiia, Oblastnaia klinicheskaia bol'nitsa, Omsk

Lisina T.A.

Omsk State Medical University, Omsk, Russia

Potasheva A.D.

Omsk State Medical University, Omsk, Russia

Hvostov V.A.

Budgetary Healthcare Institution of the Omsk Region «Regional Clinical Hospital», Omsk, Russia

Ischemic stroke in the patients with comorbid pathology

Authors:

Lar'kin V.I., Bort A.A., Lisina T.A., Potasheva A.D., Hvostov V.A.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2018;118(3‑2): 15‑19

DOI: 10.17116/jnevro20181183215-19

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Table of contents

ISCHEMIC STROKE IN THE PATIENTS WITH COMORBID PATHOLOGY
ISCHEMIC STROKE IN THE PATIENTS WITH COMORBID PATHOLOGY

To cite this article:

Lar'kin VI, Bort AA, Lisina TA, Potasheva AD, Hvostov VA. Ischemic stroke in the patients with comorbid pathology. S.S. Korsakov Journal of Neurology and Psychiatry. 2018;118(3‑2):15‑19. (In Russ.)
https://doi.org/10.17116/jnevro20181183215-19

 
Подписка 2025-2 (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
 
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Objective. To study an effect of comorbidity on the course and outcome of ischemic stroke (IS). Material and methods. Results of a unicenter, retrospective, cohort study of 190 patients with ischemic stroke (IS) were analyzed. Severity of stroke, dependence in the daily activities, comorbidity were assessed using NIHSS, the Rankin scale,CCI, CIRS. Results and conclusion. The correlation of IS severity and outcome with the severity of comorbid pathology assessed by CCI and CIRS was identified. Severity of comorbid pathology increased with the age of patients. Comorbidity (CCI) and stroke severity (NIHSS) were predictors of IS outcome (the Rankin scale) (R=0.72210324; R2=0.52143308; p=0.0026). The effect of comorbidity on survivability of stroke was shown. The results can be useful for the management of the patient with acute IS in a specialized inpatient setting.

Keywords:

ischemic stroke
comorbid disorders
severity of stroke
outcome of stroke

Authors:

Lar'kin V.I.

Omskaia gosudarstvennaia meditsinskaia akademiia, Oblastnaia klinicheskaia bol'nitsa, Omsk

Bort A.A.

Omskaia gosudarstvennaia meditsinskaia akademiia, Oblastnaia klinicheskaia bol'nitsa, Omsk

Lisina T.A.

Omsk State Medical University, Omsk, Russia

Potasheva A.D.

Omsk State Medical University, Omsk, Russia

Hvostov V.A.

Budgetary Healthcare Institution of the Omsk Region «Regional Clinical Hospital», Omsk, Russia

List of references:

  1. Feinstein AR. Pre-therapeutic classification of co-morbidity in chronic disease. J Chronic Disease. 1970;23(7):455-468.
  2. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45(6): 613-619.
  3. Linn BS, Linn MW, Gurel L. Cumulative illness rating scale. J Amer Geriatr Soc. 1968;16:622-626.
  4. Vertkin AL, Skotnikov AS. Komorbidnost’. Lechashchij vrach. 2013;6:13-19. (In Russ.)

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