Analysis of the Correlation between the Alberta Stroke Program Early CT Score (Aspects) and The Clinical Degree of Acute Ischemic Stroke Patients

DOI

10.2991/978-94-6463-392-4_23How to use a DOI?

Keywords

ischemic stroke; ASPECTS; clinical degree

Abstract

Ischemic stroke caused by middle cerebral artery occlusion is a clinical syndrome that often occurs due to the larger diameter of the middle cerebral artery and more cerebral blood flow. The clinical degree of ischemic stroke patients is influenced by the extent and location of the lesion. Alberta Stroke Program Early CT Score (ASPECTS) is a semi-quantitative calculation system to assess the extent and distribution of ischemic stroke images of the middle cerebral artery territory by CT scan. A quantitative study using cross-sectional design. The sample was from the medical record of ischemic stroke patients in the middle cerebral artery from June to August 2022 at Wahidin Sudirohusodo Hospital with a total of 32 patients. This study used the ASPECTS tool to determine the extent of ischemic lesions, while using the National Institute of Health Stroke Scale (NIHSS) scores to determine the clinical degree. An analysis of the correlation between ASPECTS and NIHSS was performed using the chi square test. There were 22 patients with better ASPECTS and 10 patients with worse ASPECTS. The highest NIHSS scores were for patients with moderate clinical degrees, then severe and mild. All patients with worse ASPECTS had severe NIHSS values, whereas most patients with better ASPECTS had moderate NIHSS values followed by mild. There is a significant correlation between ASPECTS and the clinical grade of ischemic stroke patients. The size and location of ischemic lesions can affect the clinical grade of ischemic stroke patients. ASPECTS is revealed to be applicable to determine the prognosis of the clinical grade of ischemic stroke patients.

Copyright

© 2024 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - A. Ashaeryanto
AU  - Muhammad Akbar
PY  - 2024
DA  - 2024/04/22
TI  - Analysis of the Correlation between the Alberta Stroke Program Early CT Score (Aspects) and The Clinical Degree of Acute Ischemic Stroke Patients
BT  - Proceedings of the 1st International Conference Medical and Health Science Halu Oleo (IMHO 2023)
PB  - Atlantis Press
SP  - 202
EP  - 208
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-392-4_23
DO  - 10.2991/978-94-6463-392-4_23
ID  - Ashaeryanto2024
ER  -