Stroke Event Factors among Adult Patients Admitted to Stroke Unit of Jimma University Medical Center: Prospective Observational Study
Table 2
Stroke event factors among adult stroke patients admitted to stroke unit of JUMC from March 10 and July 10, 2017.
Stroke event factors
Total patients
Ischemic stroke
Hemorrhagic stroke
P value
(N=116)
(n=60)
(n=56)
(OR)
Time interval from onset of stroke to hospital arrival (hours)
Median (IQR)
27 (11.13-70.63)
44 (12.46-92.00)
18.25 (9.00-49.05)
0.059
≤4.5 hours
14 (12.1%)
9 (15.0%)
5 (8.9%)
-
4.51-12 hours
21 (18.1%)
6 (10.0%)
15 (26.8%)
0.042
12.01-24 hours
20 (17.2%)
7 (11.7%)
13 (23.2%)
0.098
24.01-48 hours
21 (18.1%)
12 (20.0%)
9 (16.1%)
0.693
>48 hours
40 (34.5%)
26 (43.3%)
14 (25%)
0.962
NIHSS score at hospital arrival
Mean ± SD
15.71±7.52
14±7.15
17.54±7.54
0.013
NIHSS 0–6 (mild)
12 (10.3%)
11 (18.3%)
1 (1.8%)
-
NIHSS 7–12 (moderate)
31 (26.7%)
17 (28.3%)
14 (25.0%)
0.046
NIHSS 13–20 (severe)
47 (40.5%)
23 (38.3%)
24 (42.9%)
0.024
NIHSS ≥ 21 (very severe)
26 (22.4%)
9 (15.0%)
17 (30.4%)
0.007
GCS on hospital arrival
Mean± SD
12.12±3.35
13.07±2.56
11.11±3.80
0.002
Poor GCS (≤8)
17 (14.7%)
3 (5.0%)
14 (25.0%)
0.004
Moderate GCS/ (9-12)
33 (28.4%)
17 (28.3%)
16 (28.6%)
0.389
Good GCS/ (13-15)
66 (56.9%)
40 (66.7%)
26 (46.4%)
-
Systolic BP at hospital arrival
Median (IQR)
150 (130-180)
150 (124.25-170)
157 (130.75-189.25)
0.049
90–120 mm Hg
21 (18.1%)
14 (23.3%)
7 (12.5%)
-
121–139 mm Hg
19 (16.4%)
9 (15.0%)
10 (17.9%)
0.221
≥140 mm Hg
76 (65.5%)
37 (61.7%)
39 (69.6%)
0.149
Diastolic BP at hospital arrival
Median (IQR)
98.50 (80-110)
90 (70.25-108.75)
100 (88-110)
0.047
≤59 mm Hg
2 (1.7%)
2 (3.3%)
0 (0%))
0.999
60–80 mm Hg
33 (28.4%)
21 (35.0%)
12 (21.4%)
-
81-89 mm Hg
8 (6.9%)
4 (6.7%)
4 (7.1%)
0.999
≥90 mm Hg
73 (62.9%)
33 (55.0%)
40 (71.4%)
0.999
HR during hospital arrival
Mean± SD
86.34±13.23
88.85±13.70
83.66±12.27
0.037
Normal 60–100 bpm
104 (89.7%)
52 (86.7%)
52 (92.9%)
-
>100 bpm (tachycardia)
12 (10.3%)
8 (13.3%)
4 (7.1%)
0.281
RR during hospital arrival
Median (IQR)
23.5 (20-24)
23.50 (20.25-24)
23.50 (20-26)
0.516
12–20 breath/min
33 (28.4%)
15 (25.0%)
18 (32.1%)
-
> 20 breath/min
83 (71.6%)
45 (75.0%)
38 (67.9%)
0.704
Temp during hospital arrival
Median (IQR)
36.6 (36.5-36.8)
36.6 (36.5-36.9)
36.6 (36.43-36.80)
0.666
<36°C
3 (2.6%)
2 (3.3%)
1 (1.8%)
0.588
Normal (36.0–37.1°C)
97 (83.6%)
49 (81.7%)
48 (85.7%)
-
>37.1°C (Hyperthermia)
16 (13.8%)
9 (15.0%)
7 (12.5%)
0.739
Onset of circadian pattern of stroke
In the morning
34 (29.3%)
14 (23.3%)
20 (35.7%)
0.321
In the afternoon
38 (32.8%)
23 (38.3%)
15 (26.8%)
0.103
At night
28 (24.1%)
14 (23.3%)
14 (25.0%)
0.488
In the evening
16 (13.8%)
9 (15.0%)
7 (12.5%)
-
Activity of patient during stroke attack
At sleep
25 (21.6%)
16 (26.7%)
9 (16.1%)
-
after awakening
22 (19.0%)
11 (18.3%)
11 (19.6%)
0.897
at squatting
27 (23.3%)
14 (23.3%)
13 (23.2%)
0.377
While doing sedentary activities
35 (30.2%)
16 (26.7%)
19 (33.9%)
0.632
busy in household work
2 (1.7%)
1 (1.7%)
1 (1.8%)
0.960
While involved in outdoor activities.
5 (4.3%)
2 (3.3%)
3 (5.4%)
0.628
Type of stroke onset
Fluctuating
4 (3.4%)
4 (6.7%)
0 (0%)
0.999
Progressive
24 (20.7%)
13 (21.7%)
11 (19.6%)
0.645
Sudden
88 (75.9%)
43 (71.7%)
45 (80.4%)
-
Episode of stroke event
Fist ever episode
107 (92.2%)
52 (86.7%)
55 (98.2%)
-
Recurrent/ previous stroke
9 (7.8%)
8 (13.3%)
1 (1.8%)
0.048
BP: blood pressure, GSC: Glasgow coma scale, HR: heart rate, NIHSS: National institute of health stroke scale, OR: Odds ratio, R: range, RR: respiratory rate, and SD: standard deviation.
