London, United Kingdom 2013 Poster Session Red Cerebrovasc Dis 2013; 35 (suppl 3)1-854 341 115 Stroke prognosis Long-term quality of life among young mexican patients after ischemic stroke. A.A. Arauz1, C. Mader2, H. Silos3, F. Ruiz4, A. Ruiz5, M. Reyes6, A. Rivera7, A. Martínez8 Instituto Nacional de Neurología y Neurocirugía, Mexico City, MEXICO1, Instituto Nacional de Neurología y Neurocirugía, Mexico City, MEXICO2, Instituto Nacional de Neurología y Neu-rocirugía, Mexico City, MEXICO3, Instituto Nacional de Neurología y Neurocirugía, Mexico City, MEXICO4, Instituto Nacional de Neurología y Neurocirugía, Mexico City, MEXICO5, Instituto Nacional de Neurología y Neurocirugía, Mexico City, MEXICO6, Instituto Nacional de Neurología y Neurocirugía, , MEXICO7, Instituto Nacional de Neurología y Neurocirugía, Mexico City, MEXI-CO8 Background: Stroke has significant effect on patient’s quality of life (QoL). Arterial dissection, car-dioembolic and hypercoagulable state related strokes leave significant physical and mental function-al impairment. No study has compared differences on long-term QoL based on etiology in young ischemic stroke patients between 18 to 45 years old. Methods: We used the 36 item Short-Form Health Survey (SF36) questionnaire in its Spanish trans-lation to assess physical and mental functional status 12 months after ischemic stroke (IS) in young Mexican ischemic stroke patients. We analyzed descriptive demographic characteristics and TOAST subtype. Functional outcome was also evaluated with modified Rankin scale (mRs) and Barth-el index (BI) and was compared according to etiology. The 8 categories of the SF36 results were standardized to Norm by etiology-based scoring, physical component summary (PCS) and mental component summary (MCS) also were included. Multiple lineal logistic regression analysis was per-formed to compare IS subtype. Results: A total of 324 patients completed the questionnaire. After elimination, 300 questionnaires were analyzed (mean age 33.8± 8 years), 159(53%) females. Smoking background (8628.7%), hy-pertension (4414.7%) and alcohol consumption (4916.3%) were the most common risk factors found. Patients with cryptogenic stroke (4816.0%) were significantly affected in general health (3368.8%, P=0.05) compared with other etiologies. Patients with arterial dissection (8227.3%) have trend for worse functional outcome expressing as physical and emotional roll affectation (4858.5% and 5162.2% respectively), compared by etiologies, but no significant difference was found between the other etiologies. Conclusion: Ischemic stroke young mexican patients have good recovery and outcome based on mRs and BI, but they feel long-term functionally and mentally impaired even with subtle impair-ments which didn´t left them with considerable functional disability. 116 Stroke prognosis Predictors of mortality in acute intracerebral hemorrhage in a Portuguese hospital A. M. Miranda1, N. R. Monteiro2, I. Carmezim3, L. Porto4, A. I. Gomes5, F. Girão6 Centro Hospitalar Tondela-Viseu, Viseu, PORTUGAL1, Centro Hospitalar Tondela-Viseu, Viseu, PORTUGAL2, Centro Hospitalar Tondela-Viseu, Viseu, PORTUGAL3, Centro Hospitalar Tonde-la- Viseu, Viseu, PORTUGAL4, Centro Hospitalar Tondela-Viseu, Viseu, PORTUGAL5, Centro Hos-pitalar Tondela-Viseu, Viseu, PORTUGAL6 BACKGROUND: Poor prognostic risk factors of haemorrhagic stroke are no clearly identified and studied. This study attempts to investigate clinical features at admission and their influence on mor-tality in patients with intracerebral haemorrhage (ICH). METHODS: We examined the outcome of patients with intracerebral haemorrhage admitted to a Portuguese hospital between January 1, 2012 and December 31, 2012 in a retrospective observa-tional study. We correlate several clinical factors with the outcome in terms of mortality within one month of the event. RESULTS: A total of 100 patients with mean age 71.63±10.95 years were included and, of these, 53 (53%) were males. The death group at one month consisted of 34 patients (mean age 75 years) and the remaining 66 survived (mean age 69.9 years). 34% of patients had a history of significant alco-hol consumption, and 19% were prescribed antiplatelet or anticoagulant drugs. We found no statis-tical difference in systolic or diastolic blood pressures or temperature at admission between groups. The resulting significant factors associated with early death were age, glycemia and Glasgow Coma Scale (GCS) at admission, using the Mann-Whitney U test (age and glycaemia did not have normal distribution). Through logistic regression we found them to be independent predictors of mortality: elderly age (OR 5.340, CI 1.495-19.078, p<0.05), glycemia>140 mg/dl (OR 8.282, CI 2.271-30.212, p<0.005) and GCS<12 (OR 16.834, CI 5.5062-55.983, p<0.005). CONCLUSION: Elderly age, hyperglycemia and a GCS score below 12 may independently increase the risk of early death in acute spontaneous ICH.
Karger_ESC London_2013
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