title: Predictors of Inhospital Mortality in Geriatric Patients Presenting to the Emergency Department With Ischemic Stroke.
abstract: OBJECTIVE
  To determine the most important predictors of inhospital mortality that could be assessed in geriatric patients presenting with ischemic stroke at admission to the emergency department(ED).
  
  
  METHODS
  A retrospective cohort study was carried out in geriatric patients with ischemic stroke who were diagnosed in the ED. The primary outcome measure was determined as all-cause inhospital mortality after 30 days of ischemic cerebrovascular event.
  
  
  RESULTS
  During the study period, 247 (35.7%) patients died in the hospital and 445 (64.3%) patients survived the 30-day period. The median age of the patients was 78 (72-83). Higher National Institutes of Health Stroke Scale (NIHSS) scores (odds ratio [OR]: 2.085; 95% confidence interval [CI]: 1.835-2.370), increased creatinine levels (OR: 2.002; 95% CI: 1.235-3.243), increased platelet levels (OR:1.006; 95% CI: 1.002-1.010), and hyperglycemia (OR: 2.610; 95% CI: 1.023-6.660) were found as independent predictors of inhospital mortality.
  
  
  CONCLUSIONS
  In evaluating geriatric patients with ischemic stroke, laboratory values including platelet count, creatinine levels, hyperglycemia, and NIHSS scores should be considered to predict inhospital mortality in the ED.
authors.affiliation: Department of Emergency Medicine, Kocaeli University, Kocaeli, Turkey nurettinozgurdogan@gmail.com.
authors.forename: Nurettin Özgür
authors.initials: NÖ
authors.lastname: Doğan
authors.affiliation: Department of Emergency Medicine, Keçiören Training and Research Hospital, Ankara, Turkey.
authors.forename: Emine
authors.initials: E
authors.lastname: Akıncı
authors.affiliation: Department of Neurology, Konya Training and Research Hospital, Konya, Turkey.
authors.forename: Haluk
authors.initials: H
authors.lastname: Gümüş
authors.affiliation: Department of Emergency Medicine, Konya Training and Research Hospital, Konya, Turkey.
authors.forename: Nazire Belgin
authors.initials: NB
authors.lastname: Akıllı
authors.affiliation: Department of Emergency Medicine, Ümraniye Training and Research Hospital, İstanbul, Turkey.
authors.forename: Gökhan
authors.initials: G
authors.lastname: Aksel
mesh_terms: D000368:Aged; D002545:Brain Ischemia / Q000097:blood / Q000175:diagnosis / Q000401:mortality*; D004636:Emergency Service, Hospital; D005260:Female; D006299:Health Services for the Aged; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D010976:Platelet Count; D020521:Stroke / Q000097:blood / Q000175:diagnosis / Q000401:mortality*
keywords: emergency department (MeSH Database); geriatrics; mortality; stroke