Oxfordshire Community Stroke Project (OCSP) as a Determining Factor in the Incidence of Inpatient Complications of De Novo Ischemic Stroke in Second-level Care Hospitals
Juletsy Moreira Alcivar1, Carlos Rodriguez Alarcon1, Presley Gruezo1, Luis Yepez2
1Universidad Catolica de Santiago de Guayaquil, 2NEUROLOGY, Hospital General del Norte de Guayaquil IESS Los Ceibos
Objective:
This study aims to demonstrate that the OCSP classification determines the incidence of De Novo Ischemic Stroke (DNIS) inpatient complications in second-level care hospitals.
Background:

Most Hispanic patients present inpatient complications during DNIS. The OCSP classification evaluates the location and extent of the ischemic stroke by arterial irrigation territories in such a way that provides early information about the patient's evolution and prognosis.

Design/Methods:

A retrospective, analytical study was carried out in two second-level care Hospitals. The OCSP classification was used to categorize patients according to the affected circulation. A χ² test was carried out to establish the difference between the neurological complications (NC) and Non-Neurological complications (NNC) incidence rates among the OCSP classification.

Results:

In a cohort of 320 Hispanic patients with NIS, 64% were men with a mean age of 69 ± 13 years. The average incidence of NC in the study population was 48.1%. According to the OCSP Classification, patients with Lacunar Syndrome (LACS) exhibited the highest incidence of NC at 61.9%, followed by patients with total anterior circulation (TACS) at 55.2%, partial anterior circulation (PACS) at 55.1%, and Posterior Circulation (POCS) at 42.9%. The average incidence of NNC was 55.6%. TACS had the highest incidence at 61.2%, followed by POCS at 59.8%, PACS at 55.1%, and LACS at 41.3%. LACS exhibited the lowest rate of mixed complications (41.3%), while the other groups showed similar higher rates which exceeded (≈>70%).

The χ² test exhibits that there is a strong statistical difference between the frequency of complications among the OCPS classification. (X2: 16.88 and p-value < 0.001).
Conclusions:

We can leverage the OCSP Classification to determine the affected circulation in stroke cases, enabling the anticipation and prevention of NC and NNC and their associated sequelae among Hispanic patients.

10.1212/WNL.0000000000206417