%0 Journal Article
%T Retrospective Study and Analysis of Improvement Strategies for Progressive Ischemic Stroke
%A Lin Qi
%A He Zhang
%J Open Access Library Journal
%V 12
%N 4
%P 1-10
%@ 2333-9721
%D 2025
%I Open Access Library
%R 10.4236/oalib.1113287
%X Progressive ischemic stroke (PIS) is a severe neurological condition with high disability and mortality rates, significantly increasing the economic burden on patients and healthcare systems. It also exacerbates doctor-patient tensions, potentially leading to medical disputes. This retrospective study analyzed 210 cases from the Advanced Stroke Center of the Second Affiliated Hospital of Qiqihar Medical University, comparing PIS patients with general ischemic stroke patients. The results showed that PIS patients exhibited significantly lower improvements in NIHSS (-4.20 ¡À 0.01 vs. 3.20 <span style="text-wrap-mode:wrap;">¡À</span> 0.01, p £¼ 0.001) and MRS (-1.25 <span style="text-wrap-mode:wrap;">¡À</span> 0.02 vs. 1.24 <span style="text-wrap-mode:wrap;">¡À</span> 0.05, p &lt; 0.001), alongside markedly higher hospitalization costs (9235.0 <span style="text-wrap-mode:wrap;">¡À</span> 200.3 vs. 4205.2 <span style="text-wrap-mode:wrap;">¡À</span> 120.5, p &lt; 0.001). Moreover, the study highlighted the substantial psychological and financial toll of PIS, with affected patients reporting significantly lower General Self-Efficacy Scale (GSES) scores (3.5 <span style="text-wrap-mode:wrap;">¡À</span> 0.4 vs. 9.5 <span style="text-wrap-mode:wrap;">¡À</span> 0.7, p &lt; 0.001) and higher Personal Financial Wellness Scale (PFWS) scores (35.2 <span style="text-wrap-mode:wrap;">¡À</span> 0.4 vs. 70.0 <span style="text-wrap-mode:wrap;">¡À</span> 0.8, p &lt; 0.001), indicating diminished confidence among medical professionals and severe economic stress for patients and families. These findings underscore the necessity of a multidimensional intervention strategy integrating ethical, economic, and clinical approaches to mitigate the adverse effects of PIS.<br />
%K Progressive Ischemic Stroke
%K Retrospective Study
%K Improvement Strategies
%U http://www.oalib.com/paper/6856430