The Serum Mineral Level: Mediatory Role on Discharge Disability in Stroke Patients, North of Iran

Background and Objective: stroke is one of the most leading cause of mortality and disabilities associated with neurological disorders. Due to less availability of data on the associations between mineral serum level and stroke, this study was conducted. Materials and Methods: This cross-section analytical study on stroke patients referred to the Ayatollah Rouhani Hospital of Babol over one year conducted. Demographic characteristic of patients, risk factors, types, admit score, and discharge scale of stroke were determined and mineral serum level of patients measured. A path analysis and logistic regression in spss v23 used. Findings: Of 216 stroke patients, and 185cases (85.6%) were ischemic. The discharge scale of 138 cases (64.4%) mild, 49 cases (22.7%) moderate and 29 cases (12.9%) were sever or death. Patients with moderate and severe admit score, with hemorrhagic stroke type, hypertension and diabetes mellitus and lives in village have significantly more discharge scale. Low serum level of Magnesium and Calcium statistically significant with discharge disability status. Logistic regression modeling result for predicting H.T.N, ischemic type and discharge scale in studied patients. About H.T.N, Ca, age older than 60 were the effective factors and about ischemic type; I.H.D, Mg and Ca were effective factors .In addition, Mg, H.T. N, admit score and ischemic type were the predictors of the discharge scale. Conclusion: Hypomagnesaemia play role in discharge disability status, this new clue can be effective in determination of prognosis and in some aspects of therapeutic measures.

Keywords:

magnesium , calcium , vita D , ischemic stroke , stroke , prognosis