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KMID : 1123920120260060929
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Korean Journal of Oriental Physiology and Pathology
2012 Volume.26 No. 6 p.929 ~ p.933
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Short-term Prognosis according to Time of Treatment of Patients with Acute Cerebral Infarction : Measurement by NIHSS
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Park Seung-Chan
Cho Seung-Mo
Kim Do-Gyung
Lim Chi-Yeon
Lee Jae-Wuk
Hong Jin-Woo
Lee In
Lee In-Sun
Kim Young-Kyun
Kwon Jung-Nam
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Abstract
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This study was done to examine the prognosis according to onset and duration of treatment in acute ischemic cerebral infarction patients. We analysed NIHSS(National Institutes of Health Stroke Scale) score of acute ischemic cerebral infarction patients who visited department of Internal Korean Medicine, one medical center in Busan from January to December 2009. We divided patients into two groups by the initial time of treatment. Group A is admitted within 7 days, Group B is admitted from 7 to 14 days. We used NIHSS for functional recovery after 3 weeks later from admission day, and analyzed prognostic factor by analysis of covariance. All patients showed statistically significant improvement after 1week, 2weeks, 3weeks from admission, and between 1st week and 2nd week. However, there was no significant difference between 2nd week and 3rd week. NIHSS recovery score after 3weeks were analysed according to the timing of treatment. There was a statistically significant difference between two groups. The percentage of aggravated patients showed no statistically significant difference between the two groups. This study suggests that earlier admission care has an effect on functional recovery of patients with acute ischemic cerebral infarction. Further research on the large scale and long-term follow up is required.
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KEYWORD
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acute cerebral infarction, NIHSS, time of treatment
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