Primary intracerebral haemorrhage in the Jyvaskyla region, central Finland, 1985-89: incidence, case fatality rate, and functional outcome.

Fogelholm, R; Nuutila, Mika; Vuorela, A L

doi:10.1136/jnnp.55.7.546

Cited by 148 publications

(86 citation statements)

References 31 publications

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“…Surgical treatment was performed after the clotting tests were brought to normal levels. In the literature, the idiopathic intracerebral hemorrhage ratio varies between 6-12% (20,21). In our study we found this ratio to be 12% (8 cases), which is consistent with the literature.…”

Section: Discussionsupporting

confidence: 92%

Cerrahi Tedavi Uygulanan Spontan İntraserebral Hematomlar ve Mortalite İlişkisi: 72 Olgunun Retrospektif Değerlendirilmesi

Karatay¹,

Mehmetoğlu²,

Yavuz³

et al. 2012

Tnd

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Sum maryObjective: In this study we investigated the relationship between mortality and various factors discovered during the surgical treatment of spontaneous intracerebral hematoma in cases presented to our clinic. Ma te ri al and Met hod: Between 1997 and 2009, there were 72 cases of spontaneous intracerebral hemorrhage presenting with non-traumatic intracerebral hemorrhage who underwent surgical treatment at our clinic and were evaluated retrospectively. Re sults: Among the 72 cases, 41 (57%) were males, and 31 (43%) were females. The etiology in 52 (72%) of the cases was hypertension. Regarding the location of the hematoma, 27 (37%) of the cases were lobar, 30 cases (41%) were thalamic, 13 (18%) were cerebellar and 2 cases (4%) were in the putaminal location. The mortality rate in cases that received surgery within the first 8 hours was 41% (18 cases), and the rate was 61% (14 cases) in patients that received surgery between 8-24 hours. If surgery was performed between 24-48 hours following the initial hematoma, the mortality rate was 80% (4 cases). Dis cus si on: In spontaneous intracerebral hematoma, surgical treatment performed as quickly as possible following consideration of the initial neurological examination, age, volume of hematoma and its localization reduces mortality. Clinically there is no advantage in using surgical treatment over medical treatment in cases with a poor neurological condition. (Turkish Journal of Neurology 2012; 18:83-7) Key Words: Intracerebral hematoma, surgical treatment, GCS (Glasgow Coma Scale), mortality Özet Amaç: Bu çalışmada kliniğimizde spontan intraserebral hematom nedeniyle cerrahi tedavi uygulanan olgularda yer alan faktörlerin mortaliteyle olan ilişki-leri araştırıldı. Ge reç ve Yön tem: 1997 ile 2009 yılları arasında nontravmatik intraserebral hemoraji nedeni ile başvuran ve cerrahi yöntemler ile tedavi edilmiş 72 spontan intraserebral hemoraji olgusu retrospektif olarak incelenmiştir. Bulgular: İncelenen 72 olgunun 41'i (%57) erkek, 31'i (%43) kadın'dı. Elli iki olguda (%72) etiyoloji hipertansiyondu. Hematom lokalizasyonu olarak 27 olgu (%37) lober, 30 olgu (%41) talamik, 13 olgu (%18) serebellar, 2 olgu (%4) putaminal yerleşimliydi. İlk 8 saatte cerrahiye alınan olgularda mortalite oranı %41 (18 olgu), 8 ile 24 saat arasında cerrahiye alınan olgularda mortalite oranı %61 (14 olgu), 24 ile 48 saat arasında cerrahiye alınan olgularda mortalite oranı %80 (4 olgu) olarak bulundu. Sonuç: Spontan intraserebral hematom olgularında ilk nörolojik muayene, yaş, hematom volümü, hematomun lokalizasyonu ve cerrahiye alınma süresi göz önüne alınarak yapılacak olan cerrahi tedavi mortaliteyi azaltır. Klinik olarak kötü nörolojik durumdaki olgularda uygulanacak cerrahi tedavinin medikal tedaviye üstün-lüğü yoktur. (Türk Nöroloji Dergisi 2012; 18:83-7) Anah tar Ke li me ler: İntraserebral hematom, cerrahi tedavi, GKS (Glaskow Koma Skalası), mortalite

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Section: Discussionsupporting

confidence: 92%

Cerrahi Tedavi Uygulanan Spontan İntraserebral Hematomlar ve Mortalite İlişkisi: 72 Olgunun Retrospektif Değerlendirilmesi

Karatay¹,

Mehmetoğlu²,

Yavuz³

et al. 2012

Tnd

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“…Previous surveys, have found that 30-day mortality rates range from 35% in Australia 1) , 44% in the United States 7) , and up to 51% in France 15) , England 3) , and Finland 13) . Surprisingly, a recent study conducted by Inagawa et al 19) in Japan returned a 30-day mortality rate after PICH of only 14%.…”

Section: Discussionmentioning

confidence: 99%

Predictors of 30-Day Mortality and 90-Day Functional Recovery after Primary Intracerebral Hemorrhage : Hospital Based Multivariate Analysis in 585 Patients

Kim

2009

J Korean Neurosurg Soc

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Objective : The purpose of this study was to identify independent predictors of mortality and functional recovery in patients with primary intracerebral hemorrhage (PICH) and to improve functional outcome in these patients. Methods : Data were collected retrospectively on 585 patients with supratentorial PICH admitted to the Stroke Unit at our hospital between 1st January 2004 and the 31st July 2008. Using multivariate logistic regression analysis, the associations between all selected variables and 30-day mortality and 90-day functional recoveries after PICH was evaluated. Results : Ninety-day functional recovery was achieved in 29.1% of the 585 patients and 30-day mortality in 15.9%. Age (OR=7.384, p=0.000), limb weakness (OR=6.927, p=0.000), and hematoma volume (OR=5.293, p=0.000) were found to be powerful predictors of 90-day functional recovery. Furthermore, initial consciousness (OR=3.013, p=0.014) hematoma location (lobar, OR=2.653, p=0.003), ventricular extension of blood (OR=2.077, p=0.013), leukocytosis (OR=2.048, p=0.008), alcohol intake (drinker, OR=1.927, p=0.023), and increased serum aminotransferase (OR=1.892, p=0.035) were found to be independent predictors of 90-day functional recovery after PICH. On the other hand, a pupillary abnormality (OR=4.532, p=0.000) and initial unconsciousness (OR=3.362, p=0.000) were found to be independent predictors of 30-day mortality after PICH. Conclusion :The predictors of mortality and functional recovery after PICH identified during this analysis may assist during clinical decisionmaking, when advising patients or family members about the prognosis of PICH and when planning intervention trials.

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“…Thus, in comparison with an equivalent-sized ischemic infarct, in patients with SICH, an intraparenchymal blood leads to an increased inlammation and a greater cell death [26,31]. There is growing evidence that recovery in functions is beter in patients with SICH than in patients with ischemic strokes [6,[32][33][34][35][36][37][38][39][40][41][42]. The recovery process starts in the acute phase and can continue for months in the recovery phase [38,43,44].…”

Section: Rehabilitation and Recoverymentioning

confidence: 99%

“…[2]. SICH accounts for approximately 10-20% of all stroke cases, carries a 30-day mortality of up to 50%, and causes signiicant and persistent disability in survivors [3][4][5][6][7]. Advances in the management of the SICH have resulted an increase in survival, particularly in cases of smaller lesions; however, larger SICH lesions remain a signiicant cause of morbidity and mortality globally [8,9].…”

Section: Introductionmentioning

confidence: 99%

Intracerebral Hemorrhage: Issues in Rehabilitation

Dadlani¹,

Agrawal²

2017

Hemorrhagic Stroke - An Update

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While the advancements in the management of the spontaneous intracerebral hemorrhage (SICH) have resulted an increase in survival, this has also resulted in the number of survivors with signiicant functional morbidity that require long-term care and rehabilitation services. SICH can lead to various impairments, and the deicits related to SICH may include impairment in motor and sensory functions, emotional labiality, language dysfunctions, perception deicits and cognitive dysfunctions. In the present chapter, we present an overview of the issues in rehabilitation which are faced by medical personnel's while managing the patients with SICH.

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Primary intracerebral haemorrhage in the Jyvaskyla region, central Finland, 1985-89: incidence, case fatality rate, and functional outcome.

Cited by 148 publications

References 31 publications

Cerrahi Tedavi Uygulanan Spontan İntraserebral Hematomlar ve Mortalite İlişkisi: 72 Olgunun Retrospektif Değerlendirilmesi

Cerrahi Tedavi Uygulanan Spontan İntraserebral Hematomlar ve Mortalite İlişkisi: 72 Olgunun Retrospektif Değerlendirilmesi

Predictors of 30-Day Mortality and 90-Day Functional Recovery after Primary Intracerebral Hemorrhage : Hospital Based Multivariate Analysis in 585 Patients

Intracerebral Hemorrhage: Issues in Rehabilitation

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