OUTCOME OF DIFFERENT TYPES OF STROKE PATIENTS AND THEIR FUNCTIONAL STATUS AT 3 MONTHS - A PROSPECTIVE FOLLOW UP STUDY

Introduction: The purpose of the study is to find out the functional outcome of stroke patients over the period of 3 months.  Methodology: A total of 397 stroke patients admitted in Medanta between Jan 2015 to Dec 2015 were included in the study.  Comprehensive Evaluation of the patients were done including their Barthel Functional Index and Modified Rankin Scale scores at the time of admission, discharge and 3 months follow up.  Results: There were around 89 hemorrhagic patients and 308 ischemic stroke patients.  Mortality during hospital stay were around 7.29% in ischemic stroke patients and 7.8% in hemorrhagic stroke.  Patients who underwent thrombolysis were excluded in the study.  For analysis of dependent variables, patient who died in the hospital as well as patient who died after discharge were excluded.  In ischemic stroke patients, mean mRS scores of the patients were 3.51, 2.87, 1.78 and mean Barthel Scores were 45.98, 64.22, 80.94 at admission, at discharge and at 3 months follow up respectively. In Hemorrhagic stroke patients, mean mRS scores were 3.94, 3.31, 2.08 and mean Barthel Scores were 32.5, 54.38, 77.19 at admission, at discharge and at 3 months follow up respectively.  There was significant improvement in patients condition over the period of 3 months in both ischemic and hemorrhage stroke patients with respect to Modified Rankin Scale and Barthel Index (p<0.05).  Comparative analysis of mean improvement over the period of 3 months between both groups revealed that there is similar improvement in both groups in both mRS and Barthel scores.  Conclusion: Stroke patients improve significantly over the period of 3 months.