预计脑出血后预后的重要因素:沙特阿拉伯一所大学医院的一项观察研究。

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY
Aishah Albakr, Ahmad Almatar, Abdullah AlFajri, Azra Zafar, Saima Nazish, Rizwana Shahid, Danah AlJaafari, Nehad Soltan, Zainab Alarfaj, Omar Al Ghamdi, Suad Alfilw, Ahmed Abdelhady, Waleed Albaker
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引用次数: 1

摘要

背景:脑出血(ICH)的临床结果比其他脑卒中类型更差。导致非物质文化遗产结果的风险因素尚不完全清楚,沙特阿拉伯发表的关于非物质文化遗址结果的文献也很有限。我们的目标是研究脑出血结果的具体临床和影像学决定因素。方法:我们回顾性检索了2017年至2019年间法赫德国王医院大学注册中心的所有自发性脑出血(SICH)患者。记录脑出血事件的临床特征和临床结果数据(6至12个月)。研究了改良Rankin量表为0至2的有利结果和改良Rankin表为3至6的不利结果的患者组。使用线性和逻辑回归分析评估SICH事件的临床特征与其结果之间的关系。结果:共纳入148名患者,平均年龄60.3岁(±15.2),中位随访9个月。据报道,98名患者(66.2%)出现了不良结果。与不良结果相关的脑出血事件变量为肾功能受损,格拉斯哥昏迷评分结论:我们的研究证明了脑出血患者的重要临床和放射学特征,这可能会影响其临床长期功能结果。需要一项更大规模的多中心研究来验证我们的结果,并评估改善SICH患者医疗保健的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Important Factors to Expect the Outcome After Intracerebral Hemorrhage: An Observational Study From a University Hospital in Saudi Arabia.

Background: Intracerebral hemorrhage (ICH) has worse clinical outcomes than other stroke types. The risk factors contributing to ICH outcomes are not entirely understood, and published literature from Saudi Arabia on ICH outcomes is limited. Our goal was to study the specific clinical and imaging determinants of ICH outcomes.

Methods: We retrospectively retrieved all patients with spontaneous ICH (SICH) from a prospective King Fahd Hospital University registry between 2017 and 2019. The clinical characteristics of ICH events and data on clinical outcomes (6 to 12 mo) were recorded. Groups of patients with a favorable modified Rankin Scale of 0 to 2 and nonfavorable outcomes of a modified Rankin Scale of 3 to 6 were investigated. The relationship between the clinical characteristics of the SICH event and its outcomes was assessed using linear and logistic regression analyses.

Results: A total of 148 patients with a mean age of 60.3 years (±15.2) and a median follow-up of 9 months were included. Unfavorable outcomes were reported in 98 patients (66.2%). The ICH event variables associated with unfavorable outcomes were impaired renal function, Glasgow Coma Score <8, hematoma volume, hematoma expansion, and intraventricular extension (IVE).

Conclusions: Our study demonstrated important clinical and radiologic features in patients with ICH that may affect their clinical long-term functional outcomes. A larger multicenter study is required to validate our results and evaluate the methods to improve health care in patients with SICH.

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来源期刊
Neurologist
Neurologist 医学-临床神经学
CiteScore
1.90
自引率
0.00%
发文量
151
审稿时长
2 months
期刊介绍: The Neurologist publishes articles on topics of current interest to physicians treating patients with neurological diseases. The core of the journal is review articles focusing on clinically relevant issues. The journal also publishes case reports or case series which review the literature and put observations in perspective, as well as letters to the editor. Special features include the popular "10 Most Commonly Asked Questions" and the "Patient and Family Fact Sheet," a handy tear-out page that can be copied to hand out to patients and their caregivers.
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