Correlation between Serum Calcium and In-Patient Mortality among Patients with Hemorrhagic and Non-Hemorrhagic Cerebrovascular Disease

Rakshya  Gautam; Belinda Lioba L.  Mesina-Nepomuceno; Pratik  Paudel

doi:10.52910/ajhs.51

Authors

Rakshya Gautam Department of Internal Medicine, Alka Hospital, Lalitpur, Nepal
Belinda Lioba L. Mesina-Nepomuceno Department of Neurology, Rizal Medical Center, Philippines
Pratik Paudel Department of Internal Medicine, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu, Nepal

DOI:

https://doi.org/10.52910/ajhs.51

Keywords:

Acute Ischemic Stroke, Cerebral Infarction, Hemorrhagic Stroke, Serum Calcium

Abstract

Introduction: Cerebrovascular disease is the second most frequent cause of death worldwide. This study was designed to access the correlation between ionized calcium and clinical outcomes of Cerebrovascular events.

Methods: The study included 225 cases diagnosed with cerebrovascular disease and undergone a CT scan. Calcium (ionized calcium) was measured within 1-2 hrs. Of sample collection. The time frame of the study was from December 2016 till December 2017.

Result: There were a total of 52 patients admitted as DVT, among which 26(50%) were male and 26(50%) were female. Twenty patients (38.5%) were COVID-19 positive and 32 (61.5%) were COVID-19 negative. Mean age for among those patients was 50.50±4.8 years, average hospital stay was 6.4±0.6 days, after anticoagulation therapy target INR was reached in 3.8±0.17 days and CVI was present in 14(70%) for COVID positive with DVT. Similarly, mean age was 46.80±3.3 years, average hospital stay was 4.6±0.3 days, after anticoagulation therapy target INR was reached in 3.3±0.21 days and CVI was present in 18(56.65%) with COVID negative with DVT.

Conclusion: Serum calcium was found to be associated with clinical outcome among stroke patients found to have infarction. High incidence of favourable clinical outcome among those who have normal level of serum calcium compared to those who have low serum calcium level was found.