Health Condition 1: G939- Disorder of brain, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age equal to or more than 18 years Acute stroke confirmed by clinical assessment and neuroimaging CT or MRI within 24 hours of ICU admission Admission to ICU during index hospitalisation within 72 hours of stroke onset ICU admission attributable to acute stroke or its direct complications Consent from patient or legally authorised representative as per local ethics requirements
Exclusion criteria
Exclusion criteria: Age less than 18 years Transient ischemic attack Cerebral venous thrombosis Stroke mimics: seizure with post-ictal paresis hypoglycaemia encephalitis brain tumour metabolic encephalopathy Traumatic intracranial haemorrhage Elective postoperative ICU observation without acute stroke-related critical illness ICU readmission during the same hospitalisation Unavailability of critical baseline or outcome data required for primary analysis including confirmed stroke subtype ICU admission status survival status at the primary outcome assessment point or functional outcome assessment where applicable despite reasonable efforts at data retrieval
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In-hospital all-cause mortality, defined as death occurring during ICU stay or subsequent hospitalization before discharge.Timepoint: during ICU stay or subsequent hospitalization before discharge. | — |
Secondary
| Measure | Time frame |
|---|---|
| Severe functional disability mRS 4 to 5 is analysed separately to distinguish functional dependence among survivors from mortality Composite outcome mRS 4 to 6 provides an overall measure of poor clinical outcome. ICU mortality mRS at discharge 90 day mRS ICU length of stay Hospital length of stay Duration of mechanical ventilation Need for tracheostomy ICU acquired complications Discharge to home ward rehabilitation or deceased LAMA or DAMA Yes or No Reason for LAMA or DAMA poor prognosis financial constraints other Palliative care initiated Yes or No Timepoint: ICU discharge Hospital discharge Day 90 follow up | — |
Countries
India
Contacts
Rajendra Institute of Medical Sciences