TY -的T1的意识水平在放电和关联结果缺血性中风后神经学(P2.211) JF -乔-神经学六世- 90 - 15补充SP - P2.211盟-迈克尔Reznik盟Shadi Yaghi AU - Mahesh Jayaraman盟首页-瑞安-麦克塔加特盟-摩根Hemendinger AU -布莱恩Mac Grory盟-蒂娜伯顿盟(Shawna削减非盟-布拉德福德·汤普森盟琳达温德尔盟-阿里Mahta Lori Daiello AU -尼古拉斯·波特盟盟-塞勒斯Kosar盟-理查德·琼斯盟-卡伦富里Y1 - 2018/04/10 UR - //www.ez-admanager.com/content/90/15_Supplement/P2.211.abstract N2 -目的:我们的目的是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。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。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 - 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名患者的在我们的群体中,32%的人总LOC分数在0在放电(6% LOC-R祝辞0,23% LOC-Q祝辞0,14% LOC-C祝辞0)。LOC总分在放电与不利的三个月的结果(比值比(或)4.9,95%可信区间[CI]为LOC = 1 2.4 - -9.8;-23.9或8.0,95% CI 2.7 LOC = 2 - 3),对LOC-R部分的得分(-21.2或5.3,95% CI 1.3 LOC-R = 1;所有患者LOC-R = 2 - 3有可怜的结果)和LOC-Q(-8.3或4.1,95% CI 2.1 LOC-Q = 1;-13.5或4.9,95% CI 1.8 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 1.3–5.3 for LOC=1; OR 3.1, 95% CI 1.2–8.2 for LOC=2–3) and LOC-Q subscore (OR 3.3, 95% CI 1.6–6.6 for LOC-Q=1; OR 3.4, 95% CI 1.3–9.0 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. ER -