Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2012     Vol 37     No 4
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      UDK 616.831-005.1

ISSN 035-2899, 37(2012) br.4 p.193-199

Original paper

Factors that affect the degree of neurological deficit in patients with acute stroke
Faktori koji utiču na stepen neurološkog deficita kod pacijenata sa akutnim moždanim udarom

Milena Jokšić (1), Siniša Šijačić (1), Ankica Vasić (1), Dragan Tančik (1), Ivan Lekin (2), Radojka Jokšić-Mazinjanin (2), Lana Andrić (3)
(1) Dom zdravlja Bečej, Služba hitne medicinske pomoći, (2) Zavod za hitnu medicinsku pomoć Novi Sad, (3) Dom zdravlja Bečej, Služba opšte medicine



Introduction: According to the National Guideline for Acute Stroke (AS) from 2004 the concept of urgent treatment of patients with AS includes: rapid recognition of symptoms by the family, a call to the emergency service, fast transport and early prehospital diagnosis of patients, prehospital general and supportive therapeutic measurements and treatment in specialized stroke units. In this case, the patient has the best chance to survive and remain with minimal neurologic deficit. Aim: The goal of this study was to identify the factors that may influence the survival of patients and the degree of neurological deficit in patients with AS. Methods: The study was observational and prospective. It was conducted in the Emergency Medicine Department of the Bečej Health Care Centre (HCC) in the period from January 1, 2010 up to June 30, 2010. The study included all patients in whom the emergency medicine doctor of the HCC Bečej diagnosed AS for the first time. The data were analyzed using the statistical packages Statistica 7 and SPSS 11. Results: In the observed period, 32 patients were diagnosed with AS, 17 (53.12%) women and 15 (46.88%) men. The average age of the patients was 72.19 ± 9.74 years. All of them received treatment at home, and 21 of them (65.63%) were transported to hospital. Of the total number of patients transported to hospital, 13 (61.91%) were hospitalized. A month after the AS, 20 (62.5%) patients survived, and the survival depended on blood pressure, the degree of neurological deficit during the initial examination and the degree of neurological deficit after receiving the therapy at home or after hospitalization. After one month, the degree of neurological deficit decreased in all patients, and the reduction depended exclusively on the degree of neurological deficit during the initial examination and after the therapy. Rehabilitation of patients after AS depended on whether the patients were hospitalized or not. Conclusion: The degree of neurological deficit in patients with AS after one month was lower in both groups of patients, no matter whether they were treated in the HCC Bečej or whether they were hospitalized. The only thing needed is to intensify cooperation with the physical medicine and rehabilitation specialists in order to accelerate the recovery of patients treated at home after AS.
Key words: acute stroke, prehospital treatment, hospital treatment, the degree of neurological deficit

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian
      Corresponding Address:
Jokšić Milena
Ul. Jovana Vilovca 6, 21000 Novi Sad
Paper received: 3. 4 . 2012
Paper accepted: 11. 11. 2012
Paper Internet issues: 8.3.2013.
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Journal of Regional section of Serbian medical association in Zajecar
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