Effects of Stroke Severity on Treatment Initiated in the Emergency Department

Aim: Stroke severity depends on the treatments administered from the moment the patient enters the emergency department and the success of patient management. In our study, we aimed to evaluate the effect of National Institutes of Health Stroke Scale (NIHSS) scoring on intervention time and the relationship of qualitative measures with clinical outcome in patients in our stroke center. Material and Method: The files of patients who underwent iv TPA and/or mechanical thrombectomy in the emergency department who were followed up at the stroke center between 2022 and 2023 were retrospectively reviewed. Patients were divided into 4 groups as NIHSS score 0-5, 5-10, 10-20, ≥21; 3 groups as modified Rankin Scale (MRS) score 0-2, 3-5 and 6. Mean, standard deviation, median minimum, maximum, frequency and ratio values were used in the descriptive statistics of the data. ANOVA (Tukey test), Kruskal-Wallis, Mann-Whitney u test were used in the analysis of quantitative independent data; chi-square test was used in the analysis of qualitative independent data, and fischer test was used when chi-square test conditions were not met. Results: Symptom puncture, symptom recanalization, puncture recanalization, door imaging, door TPA, door puncture times did not differ significantly (p>0.05) between stroke severity groups. The first-pass recanalization rate was significantly (p0.05) between the MRS VI group and the MRS 0-I-II, MRS III-IV-V groups. In the group with bleeding at 24 hours, TICI stage was significantly (p