Article:
Stroke mortality in intensive care unit from tertiary care neurological center

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorThapa, Lekh Jung
dc.contributor.authorShrestha, Asis
dc.contributor.authorPokhrel, Baburam
dc.contributor.authorPoudel, Raju
dc.contributor.authorRana, PVS
dc.creator.affiliationCollege of Medical Sciences Teaching Hospital, Department of Neurology, Bharatpur, Nepal.
dc.creator.affiliationCollege of Medical Sciences Teaching Hospital, Department of Neurology, Bharatpur, Nepal.
dc.creator.affiliationCollege of Medical Sciences Teaching Hospital, Department of Neurology, Bharatpur, Nepal.
dc.creator.affiliationCollege of Medical Sciences Teaching Hospital, Department of Neurology, Bharatpur, Nepal.
dc.creator.affiliationCollege of Medical Sciences Teaching Hospital, Department of Neurology, Bharatpur, Nepal.
dc.date.accessioned2026-10-29T06:12:27Z
dc.date.available2026-10-29T06:12:27Z
dc.date.issued2013
dc.description.abstractAbstract Introduction: Stroke is the second most common cause of death and major cause of disability worldwide. About a quarter of stroke patients are dead within a month, about a third by 6 months, and a half by 1 year. Although the most substantial advance in stroke has been the routine management of patients in stroke care units, intensive care unit has remained the choice for stroke patients’ care in developing countries. This study explores the mortality of stroke patients in intensive care unit setting in tertiary care neurological centre in a developing country. Methods: We collected data of stroke patients admitted in our ICU from August 2009 to Aug 2010 and analyzed. Results: Total 44 (10.25%) patients were admitted for acute stroke. Age ranged from 17-93 years. Low GCS (Glasgow Coma Scale), uncontrolled hypertension and aspiration pneumonia were common indications for admission in ICU. Total 23 (52.3%) patients had hemorrhagic stroke and 21(47.7%) patients had ischemic stroke. 13 (29.54%) patients of stroke died within 7 days, 9 (69.23%) patients of hemorrhagic stroke died within 6 days, and 4 patients (30.76%) of ischemic stroke died within 7 days. 6 (13.63%) patients left hospital against medical advice. All of these patients had ischemic stroke. Conclusions: Stroke mortality in intensive care unit remains high despite of care in tertiary neurological center in resource poor settings. Stroke care unit, which would also help dissemination of knowledge of stroke management, is an option for improved outcome in developing countries Keywords: Intensive care unit; Mortality; Stroke; Stroke care unit.
dc.identifier.doihttps://doi.org/10.31729/jnma.544
dc.identifier.urihttps://hdl.handle.net/20.500.14572/8209
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectIntensive care unit
dc.subjectMortality
dc.subjectStroke
dc.subjectStroke care unit
dc.titleStroke mortality in intensive care unit from tertiary care neurological center
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage336
oaire.citation.startPage332
relation.isJournalIssueOfPublication22c338ba-3239-42cd-b94b-32397e5e8b5a
relation.isJournalIssueOfPublication.latestForDiscovery22c338ba-3239-42cd-b94b-32397e5e8b5a
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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