Acute ischemic stroke and serum albumin: A cross sectional study
Rajesh Sharma, Praveen Kumar Singhal, Tej Karan Saini, Rajkumar Yadav
Aim: To find out the association between serum albumin and clinical outcome in acute ischemic stroke.Material and Method: The present prospective cross-sectional study was conducted in the department of CTVS, SMS medical college from May 2019 to October 2020 among 50 patients, aged 18 years and above with decompensated heart disease, without pre-existing renal disease. Hypoalbuminemia is defined as serum albumin level less than 3.5 gram per deciliter. Severity of stroke at admission was assessed using the NIHSS scale. All baseline investigations including FBS and serum albumin was measured. CT scan of the brain was done for all patients. Serum albumin level was analysed within 36 hours of admission. Pearson correlation analysis was used to correlate serum albumin, NIHSS score & MRS score.Results: 50% (25) of study subjects had MCA infarct, 20% (10) had multi-infarct, 8% (4) had posterior circulation stroke, and 22% (11) had Lacunar stroke. NIHSS score showed statistically significant results when associated with serum albumin. Conclusion: Serum Albumin levels have significant association with the severity as well as short term functional outcome of ischemic stroke. Improving serum albumin levels may improve the functional outcome of acute ischemic stroke.