ABSTRACT

Objective: To determine the correlation between the serum sodium level and Glasgow Coma Scale (GCS) level in patients of ischemic stroke at tertiary care Hospital.

Material and methods: This observational study was conducted at medicine department of Isra University Hospital Hyderabad. Study was conducted during one year from March 2018 to February 2019. The entire patient who was diagnosed as ischemic stroke disease within 24 hours as per CT scan or MRI scan and either of gender were included in the study. After taking informed consent a 3ml blood sample was taken from each patient and immediately was sent to the Hospital diagnostic laboratory for the assessment of serum sodium level. Hyponatremia was defined as serum sodium concentration <135 mmol/L. Glasgow Coma Scale (GCS) was used for outcome and it was divided into good outcome (GCS 14-15), intermediate outcome (GCS 8-13) and poor outcome (GCS 3-7). All the data was recorded via study proforma. Data analysis was done by using SPSS version 20.

Results: Total 50 patients were studied in this study, their mean age was 61.84+10.27 years and males were 32(64.0%) There was a week positive correction between serum sodium level and Glasgow Coma Scale (GCS) r=0.006. Conclusion: It was concluded that the serum sodium level and Glasgow Coma Scale (GCS) were proportionally correlated among patients of ischemic stroke.

Key words: stroke, outcome, seroma sodium, GCS