Assessment of nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic stroke
Background/Aim. Stroke remains one of the leading causes of death and disability worldwide. The aim of the study was to determine the nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic stroke (AIS) who were hospitalized at the Department of Emergency Neur...
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| Format: | Article |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2019-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700156S.pdf |
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| author | Škodrić Angelina Marić Gorica Jovanović Dejana Beslać-Bumbaširević Ljiljana Kisić-Tepavčević Darija Pekmezović Tatjana |
| author_facet | Škodrić Angelina Marić Gorica Jovanović Dejana Beslać-Bumbaširević Ljiljana Kisić-Tepavčević Darija Pekmezović Tatjana |
| author_sort | Škodrić Angelina |
| collection | DOAJ |
| description | Background/Aim. Stroke remains one of the leading causes of death and disability worldwide. The aim of the study was to determine the nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic stroke (AIS) who were hospitalized at the Department of Emergency Neurology. Methods. Prospective cohort study included 59 consecutive patients with AIS admitted to the Department of Emergency Neurology, Neurology Clinic, Clinical Center of Serbia, Belgrade. The patients were followed until discharge or death. For exploring a relationship between the outcome of patients with AIS and different groups of factors, the univariate and multivariate Cox proportionate hazard regression models were used. Results. There were 32 male and 27 female patients with AIS. The mean age was 62.5 ± 15.2 years. The average duration of hospitalization was 11.1 ± 9.6 days (median 8 days; range 1–54 days). Almost 80% of patients (47/59; 79.7%) were admitted to the stroke unit, while 12 (20.3%) patients were admitted to the intensive care unit. In the univariate Cox regression analysis the significant variables (p < 0.05) were the Morse score (p = 0.030) and the type of admission unit (p = 0.029). The multivariate predictive model revealed that the type of admission unit (stroke unit vs conventional unit) [hazard ratio (HR) = 0.16; p = 0.032] was the independent predictor of in-hospital mortality in the patients with AIS. Conclusion. The results of this study showed an important role of nursing staff in the recovery of the AIS patients, as well as that admission to the stroke units versus the conventional units is the independent predictor of decreased in-hospital mortality. [Project of the
Serbian Ministry of Education, Science and Technological Development, Grant
no. 175087] |
| format | Article |
| id | doaj-art-89dec5652afb480c8635b82b0d4b4c05 |
| institution | Kabale University |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-89dec5652afb480c8635b82b0d4b4c052025-08-20T03:37:50ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202019-01-0176437337810.2298/VSP170422156S0042-84501700156SAssessment of nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic strokeŠkodrić Angelina0Marić Gorica1Jovanović Dejana2Beslać-Bumbaširević Ljiljana3Kisić-Tepavčević Darija4Pekmezović Tatjana5Clinical Center of Serbia, Clinic of Neurology, Department for Emergency Neurology, BelgradeInstitute of Epidemiology, Belgrade + Faculty of Medicine, BelgradeClinical Center of Serbia, Clinic of Neurology, Department for Emergency Neurology, Belgrade + Faculty of Medicine, Belgrade Clinical Center of Serbia, Clinic of Neurology, Department for Emergency Neurology, Belgrade + Faculty of Medicine, Belgrade Institute of Epidemiology, Belgrade + Faculty of Medicine, BelgradeInstitute of Epidemiology, Belgrade + Faculty of Medicine, BelgradeBackground/Aim. Stroke remains one of the leading causes of death and disability worldwide. The aim of the study was to determine the nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic stroke (AIS) who were hospitalized at the Department of Emergency Neurology. Methods. Prospective cohort study included 59 consecutive patients with AIS admitted to the Department of Emergency Neurology, Neurology Clinic, Clinical Center of Serbia, Belgrade. The patients were followed until discharge or death. For exploring a relationship between the outcome of patients with AIS and different groups of factors, the univariate and multivariate Cox proportionate hazard regression models were used. Results. There were 32 male and 27 female patients with AIS. The mean age was 62.5 ± 15.2 years. The average duration of hospitalization was 11.1 ± 9.6 days (median 8 days; range 1–54 days). Almost 80% of patients (47/59; 79.7%) were admitted to the stroke unit, while 12 (20.3%) patients were admitted to the intensive care unit. In the univariate Cox regression analysis the significant variables (p < 0.05) were the Morse score (p = 0.030) and the type of admission unit (p = 0.029). The multivariate predictive model revealed that the type of admission unit (stroke unit vs conventional unit) [hazard ratio (HR) = 0.16; p = 0.032] was the independent predictor of in-hospital mortality in the patients with AIS. Conclusion. The results of this study showed an important role of nursing staff in the recovery of the AIS patients, as well as that admission to the stroke units versus the conventional units is the independent predictor of decreased in-hospital mortality. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. 175087]http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700156S.pdfstrokemortalitynursing careconvalescence |
| spellingShingle | Škodrić Angelina Marić Gorica Jovanović Dejana Beslać-Bumbaširević Ljiljana Kisić-Tepavčević Darija Pekmezović Tatjana Assessment of nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic stroke Vojnosanitetski Pregled stroke mortality nursing care convalescence |
| title | Assessment of nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic stroke |
| title_full | Assessment of nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic stroke |
| title_fullStr | Assessment of nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic stroke |
| title_full_unstemmed | Assessment of nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic stroke |
| title_short | Assessment of nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic stroke |
| title_sort | assessment of nursing care associated predictors of in hospital mortality in the patients with acute ischemic stroke |
| topic | stroke mortality nursing care convalescence |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700156S.pdf |
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