Abstract

Stroke is the 2nd largest cause of mortality world over. In the intensive care unit (ICU), severity scales are crucial adjuncts of treatment for anticipating patient outcomes, comparing quality-of-care, and stratification for clinical studies. They're an important aspect of making better healthcare judgments and identifying people with unusual outcomes. This study was conducted to assess and compare GLASGOW COMA SCALE and NIHSS score as predictors of mortality in CVA patients admitted in MICU of Tertiary Care Centre, Rewa. METHODOLOGY This was a cross sectional, analytical study conducted in the Department of Medicine, Sanjay Gandhi Memorial Hospital (SGMH), associated with Shyam Shah Medical College (SSMC), Rewa, M.P. between January 2020 to June 2021. The GLASGOW COMA SCALE and NIHSS score were calculated for each patient on day of admission and patients were followed-up for a max period of 7 days. The area under ROC curve was used to measure the ability of these scoring systems to forecast the prognosis, in order to find the best dividing value. RESULTS The mean GCS in Death group was 5.56 ± 4.412, mean NIHSS score in Death Group was 32.45±6.486 and the mean of GCS in Survival group was 11.41 ± 4.413, mean NIHSS score in Survival Group was 14.09±8.099. The GCS score had an AUC of 0.886 which is slightly less than the NIHSS score which had the AUC 0f 0.913. CONCLUSIONS GLASGOW COMA SCALE and NIHSS scores have good ability to predict the short-term prognosis of CVA patients, and the combination of these two can provide an even better measure of mortality

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