Significance of microalbuminuria as an indicator of severity and prognosis in patients of acute ischemic cerebrovascular stroke at new civil hospital, surat

S. Shah, M.Solu, V. Garg, A. Kakadiya, R. Savaj and T Dhori

Background: Objective of this study was to find correlation between microalbuminuria and stroke severity based on NIH stroke scale and Modified Rankin Scale.
Methods: The present study comprises 50 patients, with history and clinical features suggestive of acute ischemic stroke admitted in New Civil Hospital, Surat during 5th December to 5th September 2017. The severity of stroke was assessed using the National Institute of Health Stroke Scale (NIHSS) on admission. The Modified Rankin Scale was used to assess the outcome. Data collected was analyzed using Chi-square test.
Results: The patients with recent ischemic stroke had an incidence of 74%
in the study which is statistically very significant. Presence of microalbuminuria was associated with loss of consciousness (p value= 0.025). Patients with icroalbuminuria had higher NIHSS score on admission; p-value <0.05 (highly significant), and thus correlating with increased severity and poor prognosis. Patients with microalbuminuria had higher MRS score; p-value <0.05 (highly significant), and thus correlating with poor prognosis. Conclusions: Our results indicate that presence of microalbuminuria is associated with an increased severity and poorer short term prognosis. Thus, they may act as indicators of severity and short term prognosis in patients with acute ischemic cerebrovascular stroke.

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