Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The World Health Organization defines stroke clinically as rapidly developing clinical signs of focal disturbance of cerebral function, lasting for more than twenty‐four hours or leading to death. We can divide stroke into two broad categories namely, Ischemic stroke and haemorrhagic stroke. Ischemic strokes account for 50%‐85% of all strokes worldwide. Haemorrhagic strokes are due to subarachnoid haemorrhage or intracerebral haemorrhage., they account for 1%‐7% and 7%‐27% respectively of all strokes worldwide. A recent study identified that 7% of medical and 45% of neurological admissions were due to stroke with a fatality rate of 9% at hospital discharge and 20% at 28 days. Hypertension, alcoholism, smoking and dyslipidaemia are commonest cause of stroke among the elderly and smoking, alcoholism, increased BMI, diabetes and hypertension are significantly associated with strokes among young people. Cases were selected from patients presenting to KIMS hospital, in General Medicine wards, with Acute Hemorrhagic Stroke considering the inclusion and exclusion criteria. After finalizing the patients to be included in our study, detailed clinical, laboratory, radiological and all relevant data including demographic data, age, sex, chief complaints, history, past medical history and vital signs were collected and recorded in a pre‐designed proforma. The data was then subjected fore relevant statistical analysis. In our study, the data collected in pre‐designed proforma, compiled in master chart was subjected to relevant statistical analysis and the following results were observed In our study, on day5 among the patients with Brainstem bleed (14), 7.1% of them had mRS score of 1, 7.1% of them had mRS score of 5, while majority of them deteriorated i.e. 85.7% of them had mRS score of Among the patients with Cerebellar bleed, 42.8% of them had mRS score of 1, 57.1% had mRS score of 2, while none of the patients had mRS score of more than. We conducted a randomised, observational, prospective investigation on 110 patients who presented with acute hemorrhagic stroke with the aim of evaluating the use of serum ferritin as a predictive factor in this scenario. Patients had a clinical evaluation that measured their impairment using a variety of markers, including the Glasgow Coma Scale and the Modified Rankin Scale (mRS). The patient's serum ferritin levels were measured at the time of admission. Based on the previously described features, our patients were divided into two groups: those with poor prognostic parameters comprised patients who did not survive, while the group with great prognostic attributes included patients who died. Data was collected using a pre‐made proforma and added to a master chart.
How to cite this article:
C.D. Rohan, Faisal Jamadar and Vivekanand Kamat. A Study to Evaluate the Role of Serum Ferritin as a Prognostic Marker in Acute Hemorrhagic Stroke.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.137.142
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.137.142