Predictors of the intracerebral hemorrhage volume in hypertensive patients.

Cerebrovascular Diseases Extra
Mohammad WasaySafia Awan

Abstract

Hemorrhage volume is an important predictor of outcome in patients with intracerebral hemorrhage (ICH). It is not clear why in some patients ICH volume is larger than in others. Identification of modifiable factors responsible for large-volume hemorrhage in hypertensive patients may help to reduce ICH-related morbidity and mortality. The objective of this study was to identify predictors of large-volume ICH in hypertensive patients. At a tertiary care center in Karachi (Pakistan), 157 hypertensive patients with ICH were prospectively analyzed in 2008-2009, and hemorrhage volumes were determined using CT or MRI and various factors, including duration of hypertension, medical treatment, compliance, co-morbidity, and hematologic and coagulation profiles. Logistic regression analysis was used to identify predictors of high-volume hemorrhage. A volume >30 mm(3) was defined as high-volume hemorrhage. Of 157 patients with hypertensive ICH evaluated, 133 patients were included in the study, and 24 patients with brain stem, cerebellum and pure intraventricular hemorrhage were excluded. The mean age of the study patients was 55 years; 56 patients (70%) were male. High-volume hemorrhage (>30 mm(3)) was noted in 47 (35%) patients. Mortalit...Continue Reading

Citations

Jan 17, 2013·Stroke; a Journal of Cerebral Circulation·Guido J FalconeUNKNOWN GOCHA Investigators
Feb 2, 2018·Journal of Neurosurgical Anesthesiology·Abhijit LeleMonica S Vavilala
Jul 1, 2021·International Journal of Stroke : Official Journal of the International Stroke Society·David RobinsonDaniel Woo

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