@article {ReznikP2.211作者={迈克尔Reznik Shadi Yaghi Mahesh Jayaraman和瑞安-麦克塔加特摩根Hemendinger布莱恩Mac Grory和蒂娜伯顿(Shawna切割和布拉德福德·汤普森和琳达·温德尔·阿里Mahta和尼古拉斯·波特和Lori Daiello Kosar居鲁士和理查德·琼斯和凯伦富里},title ={在放电的意识水平,对缺血性中风后的结果(P2.211)},体积={90}={15}补充数量,elocation-id = {P2.211} ={2018},出版商= {Wolters Kluwer健康,公司代表美国神经病学学会},文摘={目的:我们旨在确定美国国立卫生研究院的中风尺度(署)的意识水平(LOC)部分的得分在缺血性中风后放电与不利的结果。首页背景:持续的卒中后意识障碍是常见的和可能代表复苏的一个主要障碍。设计/方法:回顾性队列研究使用预期收集数据从一个学术三级护理中心从2015年6月2017年5月{\ textendash}。我们收集NIHSS-LOC总分在放电以及LOC部分的得分为响应(LOC-R),取向(LOC-Q),遵循命令(LOC-C)排放对所有病人幸存下来。我们的主要结果是不宜在不到三功能状态,定义为死亡或严重残疾(改良Rankin规模4 {\ textendash} 6)。我们也使用放电位置(专业护理设施(SNF)与住院康复)作为一个预先确定二次结果。结果:1003例患者的队列,总共32 \ % LOC评分\ > 0在放电(6与LOC-R \ \ % > 0, 23日与LOC-Q \ \ % > 0, 14与LOC-C \ \ % > 0)。LOC总分在放电与不利的三个月的结果(优势比4.9[或],95 \ %可信区间(CI) 2.4 9.8 {\ textendash} LOC = 1;2.7或8.0,95 \ % CI {\ textendash} 23.9 LOC = 2 {\ textendash} 3),作为LOC-R被部分的得分(1.3或5.3,95 \ % CI {\ textendash} 21.2 LOC-R = 1;所有患者LOC-R = 2 {\ textendash} 3有可怜的结果)和LOC-Q(2.1或4.1,95 \ % CI {\ textendash} 8.3 LOC-Q = 1;1.8或4.9,95 \ % CI {\ textendash} 13.5 LOC-Q = 2)调整后失语,non-LOC署分数,和年龄。 In a secondary analysis, total LOC score (OR 2.6, 95\% CI 1.3{\textendash}5.3 for LOC=1; OR 3.1, 95\% CI 1.2{\textendash}8.2 for LOC=2{\textendash}3) and LOC-Q subscore (OR 3.3, 95\% CI 1.6{\textendash}6.6 for LOC-Q=1; OR 3.4, 95\% CI 1.3{\textendash}9.0 for LOC-Q=2) were also associated with discharge to SNF.Conclusions: The presence of impaired consciousness or disorientation at discharge is associated with markedly worse outcomes after ischemic stroke. This may represent primary stroke effects or other superimposed processes like delirium.Study Supported by: N/ADisclosure: Dr. Reznik has nothing to disclose. Dr. Yaghi has nothing to disclose. Dr. Jayaraman has nothing to disclose. Dr. McTaggart has nothing to disclose. Dr. Hemendinger has nothing to disclose. Dr. Mac Grory has nothing to disclose. Dr. Burton has nothing to disclose. Dr. Cutting has nothing to disclose. Dr. Thompson has nothing to disclose. Dr. Wendell has nothing to disclose. Dr. Mahta has nothing to disclose. Dr. Potter has nothing to disclose. Dr. Daiello has nothing to disclose. Dr. Kosar has nothing to disclose. Dr. Jones has nothing to disclose. Dr. Furie has nothing to disclose.}, issn = {0028-3878}, URL = {//www.ez-admanager.com/content/90/15_Supplement/P2.211}, eprint = {//www.ez-admanager.com/content}, journal = {Neurology} }