Impact of blood pressure on clinical outcome of acute ischemic stroke over two months in a tertiary care hospital of Bangladesh

Authors

  • Md Habibullah Anesthesiologist, Department of Anaesthesia, Pain, Palliative & Intensive Care Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Mahbuba Khan Eusuf Zai Registrar, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Sardar Mohammad Tanvir Anesthesiologist, Department of Anaesthesia, Pain, Palliative & Intensive Care Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Mohammad Salim Assistant Professor (Critical Care Medicine), Department of Anaesthesia, Pain, Palliative & Intensive Care Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Mohammad Mohsin Assistant Professor (Critical Care Medicine), Department of Anaesthesia, Pain, Palliative & Intensive Care Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Md Al Amin Medical Officer, Department of Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bccj.v10i2.62204

Keywords:

systolic blood pressure, Ischemic stroke, outcome.

Abstract

Background: Stroke is a familiar medical emergency and is one of the notable causes of death in Bangladesh.

Objective: To determine the impact of systolic blood pressure (SBP) on outcomes of the patient with acute ischemic stroke. Materials and methods: This prospective observational study was conducted in Dhaka Medical College Hospital from August 2015 to February 2016 with 100 participants admitted to medicine ward with ischemic stroke. SBP was measured and Modified Rankin’s scale (MRs) was calculated. Outcomes at discharge and in 2nd month were evaluated by MRs and observed in relation to SBP.

Results: 58% were found to be dependency group, followed by 27% and 15% were in good outcome group and dead respectively within 7 days. 37% were found to be in good outcome group in the 2nd month. 31% were in dependency group and 32% died at the end of 2 months. The mean SBP was 158.40 mmHg ranging from 100 mmHg to 230 mmHg. Mean SBP of good outcome at discharge and 2nd month were 144.63 (±21.48) and 145.68 (±22.05) respectively. Mean SBP was higher (p-value <0.05) in death and dependency groups than that of good outcome within 7 days and in 2nd month. The lowest frequency of death within 7 days (1%) and at 2 months (2%) occurred in patients with baseline SBP of 140-159 mmHg and below or above this range frequency of death was increased in both situations. A U-shaped interrelation was observed between admission SBP and death.

Conclusion: Both high and low SBP were associated with poor outcomes in patients with ischemic stroke over 2 months.

Bangladesh Crit Care J September 2022; 10(2): 116-121

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Published

2022-10-18

How to Cite

Habibullah, M., Eusuf Zai, M. K. ., Tanvir, S. M. ., Salim, M., Mohsin, M. ., & Al Amin, M. (2022). Impact of blood pressure on clinical outcome of acute ischemic stroke over two months in a tertiary care hospital of Bangladesh . Bangladesh Critical Care Journal, 10(2), 116–121. https://doi.org/10.3329/bccj.v10i2.62204

Issue

Vol. 10 No. 2 (2022)

Section

Original Articles

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