Guías de actuación clínica en la hemorragia intracerebral

Rodríguez‐Yáñez, Manuel; Castellanos, Mar; Freijó, Marimar; Fernández, J.C. López; Martí‐Fàbregas, Joan; Nombela, Florentino; Simal, Patricia; Castillo, José; Díez‐Tejedor, Exuperio; Fuentes, Blanca; Leciñana, María Alonso de; Álvarez-Sabín, José; Arenillas, Juan F.; Calleja, Sergio; Casado, I.; Dávalos, Antonio; Fernando, Daniel; Egido, J.; Gállego, J.; García-Pastor, Andrés; Gil‐Núñez, A.; Gilo, F.; Irimia, P.; Lago, Aída; Maestre, J.; Masjuán, Jaime; Martínez-Sánchez, Patricia; Martínez‐Vila, E.; Molina, Carlos A.; Morales, A.; Purroy, Francisco; Ribó, Marc; Roquer, Jaume; Rubio, Francisco; Segura, Tomás; Serena, Joaquı́n; Tejada, J.; Vivancos, José

doi:10.1016/j.nrl.2011.03.010

Cited by 50 publications

(21 citation statements)

References 90 publications

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“…10,11 We provide a descriptive analysis of the data collected during the first 10 consecutive years of the registry, from February 2002 to January 2012. A total of 2165 patients were recorded during this period.…”

Section: Methodsmentioning

confidence: 99%

The Mataró Stroke Registry: A 10-year registry in a community hospital

Soler

Felip

Ruiz

et al. 2015

Neurología (English Edition)

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Introduction: A prospective stroke registry leads to improved knowledge of the disease. We present data on the Mataró Hospital Registry.Methods: In February 2002 a prospective stroke registry was initiated in our hospital. It includes sociodemographic data, previous diseases, and clinical, topographic, aetiological and prognostic data. We have analysed the results of the first 10 years.Results: A total of 2165 patients have been included, 54.1% male, mean age 73 years. The most frequent vascular risk factor was hypertension (65.4%). Median NIHSS on admission: 3 (interquartile range, 1-8). Stroke subtype: 79.7% ischaemic strokes, 10.9% haemorrhagic, and 9.4% TIA. Among ischaemic strokes, the aetiology was cardioembolic in 26.5%, large-vessel disease in 23.7%, and small-vessel in 22.9%. The most frequent topography of haemorrhages was lobar (47.4%), and 54.8% were attributed to hypertension. The median hospital stay was 8 days. At discharge, 60.7% of the patients were able to return directly to their own home, and 52.7% were independent for their daily life activities. After 3 months these percentages were 76.9% and 62.9%, respectively. Hospital mortality was 6.5%, and after 3 months it was 10.9%.Conclusions: Our patient's profile is similar to those of other series, although the severity of strokes was slightly lower. Length of hospital stay, short-term and medium-term disability, and mortality rates are good, if we compare them with other series.Registro de Ictus del Hospital de Mataró: 10 años de registro en un hospital comarcal Resumen Introducción: Un registro prospectivo de ictus permite mejorar el conocimiento de la historia natural de la enfermedad. Presentamos los datos del Registro del Hospital de Mataró.Métodos: En febrero de 2002 se inició en nuestro hospital el registro prospectivo de pacientes ingresados con un ictus agudo. Se recogen variables sociodemográficas, antecedentes, clíni-cas, topográficas, etiológicas y pronósticas. Analizamos los resultados obtenidos después de los primeros 10 años de registro.Resultados: Se han registrado 2.165 pacientes, el 54,1% varones, con una edad media de 73 años. El factor de riesgo más frecuente es la hipertensión (65,4%). Mediana de la NIHSS al ingreso: 3 (rango intercuartílico, 1-8). Un 79,7% han sido infartos cerebrales, un 10,9% hemorragias y un 9,4% AIT. De los isquémicos, la etiología ha sido cardioembólica en el 26,5%, aterotrombótica en el 23,7% y lacunar en el 22,9%. La localización más frecuente de las hemorragias ha sido lobar (47,4%), y se han atribuido a hipertensión el 54,8%. La mediana de la estancia hospitalaria ha sido de 8 días. Al alta, un 60,7% pudieron volver directamente al domicilio y un 52,7% eran independientes para las actividades de la vida diaria. A los 3 meses, las cifras fueron 76,9 y 62,9% respectivamente. La mortalidad intrahospitalaria ha sido del 6,5% y a los 3 meses del 10,9%.Conclusiones: El perfil de los pacientes en nuestra área no difiere de las otras series, aunque la severidad de los ictus ha sido discretamente menor. Cons...

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Section: Methodsmentioning

confidence: 99%

The Mataró Stroke Registry: A 10-year registry in a community hospital

Soler

Felip

Ruiz

et al. 2015

Neurología (English Edition)

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“…advanced liver disease, thrombocytopenia, blood dyscrasia), those in whom the hematoma was surgically evacuated, those in whom a follow-up CT or MR was not performed due to death and those with a severe neurological deficit or contraindications for MR. Patients were treated in compliance with the guidelines of the Cerebrovascular Study Group of the Spanish Society of Neurology [10]. For each patient, we recorded age, gender, vascular risk factors, Glasgow coma scale score at admission, blood pressure at admission, time to first CT, ICH location (lobar or deep), presence of intraventricular hemorrhage, volume of the hematoma at baseline and at follow-up CT, and etiology.…”

Section: Methodsmentioning

confidence: 99%

Microbleed Burden and Hematoma Expansion in Acute Intracerebral Hemorrhage

Martí‐Fàbregas

Delgado‐Mederos²,

Granell³

et al. 2013

Eur Neurol

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Background: Intracranial amyloid and hypertensive angiopathy have been related to impaired blood vessel function and the etiology of intracerebral hemorrhage (ICH). Microbleeds (MBs) are surrogate radiological markers that are associated with these underlying angiopathies. We assessed the hypothesis that MBs are associated with hematoma expansion (HE) in patients with hyperacute ICH. Methods: We studied patients with spontaneous supratentorial ICH within the first 6 h after onset. HE was defined as an increase ≥33% in the volume of hematoma on the follow-up CT in comparison with the admission CT. The volume was calculated using the ABC/2 formula. MBs were detected by specific magnetic resonance sequences (gradient-echo). The presence, number and distribution of MBs were analyzed. Results: Our study included 44 patients. Their mean age was 68.9 ± 11.1 years, and 70.5% of them were men. HE was observed in 14 of the patients (31.8%). HE was more prevalent in patients with more than 10 MBs compared with patients with 1-10 MBs (60 vs 12.5%; p = 0.03). Conclusion: A high burden of MBs is associated with an increased risk of HE in patients with ICH. This is probably a marker of a more severe underlying angiopathy.

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“…In Spain, stroke is the leading cause of death among women, the second leading cause of death in males, and the most frequent cause of permanent neurological sequelae in both sexes [2, 3]. Statistics confirm that one-third of those affected die within the first month, and it is estimated that the 44% of survivors are left with some functional disability [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…Since stroke is such a significantly impactful disease, both nationally [2, 3, 10] and internationally [11, 18, 19], there is a need for further examination as to what are the most effective rehabilitation options for these patients. Moreover, there is a growing interest in cost-effective care [20], as health systems suffer increased economic pressures and prioritize a minimal length of in-hospital convalescence [21], even when the patients are still too dependent to live at home.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Two Post-Stroke Rehabilitation Programs: A Follow-Up Study among Primary versus Specialized Health Care

et al. 2016

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ObjectiveTo compare home-based rehabilitation (RITH) and standard outpatient rehabilitation in a hospital setting, in terms of improving the functional recovery and quality of life of stroke patients.Study Design and SettingThis was a prospective cohort study in Andalusia (Spain).ParticipantsOne hundred and forty-five patients completed the outcome data.MeasuresDaily activities were measured by the Barthel index, Canadian Neurological Scale (to assess mental state), Tinetti scale (balance and gait), and Short Form Health Survey-36 (SF-36 to compare the quality of life).ResultsNo statistically significant differences were found between the two groups regarding the clinical characteristics of patients in the initial measurement, except for age and mental state (younger and with greater neurological impairment in the hospital group). After physical therapy, both groups showed statistically significant improvements from baseline in each of the measures. These improvements were better in RITH patients than in the hospital patients on all functionality scales with a smaller number of sessions.ConclusionsHome rehabilitation is at least as effective as the outpatient rehabilitation programs in a hospital setting, in terms of recovery of functionality in post-stroke patients. Overall quality of life is severely impaired in both groups, as stroke is a very disabling disease that radically affects patients’ lives.

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Guías de actuación clínica en la hemorragia intracerebral

Cited by 50 publications

References 90 publications

The Mataró Stroke Registry: A 10-year registry in a community hospital

The Mataró Stroke Registry: A 10-year registry in a community hospital

Microbleed Burden and Hematoma Expansion in Acute Intracerebral Hemorrhage

Comparison of Two Post-Stroke Rehabilitation Programs: A Follow-Up Study among Primary versus Specialized Health Care

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