Traumatic Intracerebral Hemorrhage: Risk Factors Associated with Progression

Journal of Neurotrauma
Santiago CepedaAlfonso Lagares

Abstract

The increase in the volume of a traumatic intracerebral hemorrhage (TICH) is a widely studied phenomenon that has a direct impact on the prognosis of patients. The objective of this study was to identify the risk factors associated with the progression of TICH. We retrospectively analyzed the records of 1970 adult patients >15 years of age who were consecutively admitted after sustaining a closed severe traumatic brain injury (TBI) between January 1987 and November 2013 at a single center. Beginning in 2007, patients with moderate TBIs were also included. A total of 782 patients exhibited one or more TICH on the initial CT scan, and met the selection criteria. The main outcome variable was the presence or absence of progression of the TICH. Univariate and multivariate statistical analyses were performed. Factors independently associated with the growth of TICH obtained through logistic regression included the following: an initial volume <5 cc (odds ratio [OR] 2.42, p<0.001), cisternal compression (OR 1.95, p<0.001), decompressive craniectomy (OR 2.18, p<0.001), age (mean 37.67 vs. 42.95 years; OR 1.01, p<0.001), falls as mechanism of trauma (OR 1.72, p=0.001), multiple TICHs (OR 1.56, p=0.007), and hypoxia (OR 1.56, p=0.02). T...Continue Reading

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Citations

Jan 15, 2016·Neurocirugía·Luis Germán González-BonetLuis Lizán Tudela
May 8, 2019·Journal of Neurotrauma·Sophie RichterVirginia F J Newcombe
Jul 30, 2019·Journal of Neurotrauma·Howard M EisenbergErik G Hayman
Jun 10, 2021·Trauma Surgery & Acute Care Open·Matheus Rodrigues de SouzaWellingson Silva Paiva
Jul 20, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Alyssa M TutunjianNikolay Bugaev

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sedation

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SPSS

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Brain Injury & Trauma

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