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The factors affecting mortality in patients with intracerebral hemorrhage

Yıl 2011, Cilt: 2 Sayı: 4, 404 - 407, 01.12.2011
https://doi.org/10.5799/ahinjs.01.2011.04.0081

Öz

Objectives: Intracerebral hemorrhage (ICH) occurs usually from the rupture of vessels into the brain parenchyma and accounts for approximately 10% of all strokes. ICH occurs more commonly in Turkey than in other western countries and carries a significantly high mortality than ischemic stroke Materials and methods: We evaluated 86 consecutive patients with ICH who were admitted to Neurology Clinics of SDU University Medical Faculty. The factors studied were age, gender, risk factors, electrocardiography results, blood pressure, fever, blood cells, biochemistry, hematoma volume and localization, clinical findings, and demographic characteristics. Results: ICH is a 30-day mortality rate between approximately 50%, with half of the deaths occurring within 48 hour from the onset. Conclusion: It was found that age, site and volume of hematoma, initial level of consciousness and drainage of hematoma into the ventricular cavity have significant effects on the prognosis. The prognosis of ICH remains frequently poor despite the best medical management, control of vital functions and infections. J Clin Exp Invest 2011; 2 (4): 404-407

Kaynakça

  • Lee WC, Joshi AV, Wang Q, Pashos CL, Christensen. Morbidity and mortality among elderly Americans with different stroke subtypes. Cerebrovasc Dis. 2007;23(2-3):221-8.
  • Hardie K, Hankey Graeme J, Jamrozik K, Broadhurst RJ, Anderson C. Ten-year survival after first-ever stroke in the perth community stroke study. Stroke 2004 ;35(3):731-5.
  • Fogelholm R, Murros K, Rissanen A, Avikainen S. Long term survival after primary intracerebral haemorrhage: a retrospective population based study. J Neurol Neurosurg Psychiatry. 2005;76(11):1534-8.
  • Masdeu J,Rubino FA. Management of lobar intracerebral hemorrhage, Medical or surgical. Neurology 1984; 34:381-3.
  • Uzuner N, Özkan S, Özdemir G. Türkiye’de beyin damar hastalıkları için major risk faktörleri. Türk Beyin Damar Hastalıkları Dergisi 2000;6(2):31-5.
  • Mc Guire AJ, Raikou M, Whittle I, Christensen MC. Long-term mortality, morbidity and hospital care following intracerebral hemorrhage: an 11-year cohort study. Cerebrovasc Dis 2007;23(2-3):221-8.
  • Ruiz-Sandoval JL, Ortega-Alvarez L, García-Navarro V, Romero-Vargas S, González-Cornejo S. Intracerebral haemorrhage in a referral hospital in the central-western region of Mexico. Rev Neurol 2005;40(11):65660.
  • Kurth T, Kase CS, Berger K, Schaeffner ES, Buring JE, Gaziano JM. Smoking and the risk of hemorrhagic stroke in men. Stroke 2003;34(10):1151-5.
  • Aluçlu MU, Yücel Y. Serebellar infarktlarda etyoloji, lokalizasyon ve prognoz. Dicle Tıp Dergisi 2006;33(1): 31-5.
  • Cheung RT, Zou LY. Use of the original, modified, or new intracerebral hemorrhage score to predict mortality and morbidity after intracerebral hemorrhage Stroke 2003;34(7):1717-22.
  • Naidech AM, Jovanovic B, Wartenberg KE, Parra A, Ostapkovich N, Connolly ES, Higher hemoglobin is associated with improved outcome after subarachnoid Hemorrhage Crit Care Med 2007;35(10):2454-6
  • van Asch CJ, Luitse MJ, Rinkel GJ, van der Tweel I, Algra A, Klijn CJ SO. Incidence, case fatality, and functional outcome of intracerebral haemorrhage over time, according to age, sex, and ethnic origin: a systematic review and meta-analysis. Lancet Neurol. 2010;9(2):167-76.

The factors affecting mortality in patients with intracerebral hemorrhage

Yıl 2011, Cilt: 2 Sayı: 4, 404 - 407, 01.12.2011
https://doi.org/10.5799/ahinjs.01.2011.04.0081

Öz

Amaç: İntraserebral hemoraji (İSH), beyin damarları rüptürü sonucu beyin parankimi içine kanamadır ve tüm inmelerin yaklaşık %10\'unu oluşturur. İSH\'ler ülkemizde diğer batı ülkelerine göre daha sık görülürler ve mortalitesi iskemik inmelerden daha fazladır. Gereç ve yöntem: Çalışmamıza SDÜ Tıp Fakültesi Nöroloji Kliniği\'ne başvuran 86 İSH\'li hasta alındı. Yaş, cinsiyet, risk faktörleri, elekrokardiyografi, kan basıncı, ateş, hemogram, rutin biyokimya parametreleri, hematomun yeri ve büyüklüğü, klinik ve demografik bulgular değerlendirildi. Bulgular: İSH\'lerin yaklaşık yarısı ilk bir ay içerisinde ölümle sonuçlanmakta ve bu ölümlerin yarısı ilk 48 saatte olmaktadır. Sonuç: Yaş, hematomun yeri ve volümü, ilk değerlendirmedeki bilinç durumu, hematomun ventriküler kaviteye geçmesi prognoz üzerine etkili bulunmuştur. İSH\'nin en iyi şekilde medikal tedavisi, vital fonksiyonların ve enfeksiyonun kontrolüyle en az şekilde sekel kalmaktadır.

Kaynakça

  • Lee WC, Joshi AV, Wang Q, Pashos CL, Christensen. Morbidity and mortality among elderly Americans with different stroke subtypes. Cerebrovasc Dis. 2007;23(2-3):221-8.
  • Hardie K, Hankey Graeme J, Jamrozik K, Broadhurst RJ, Anderson C. Ten-year survival after first-ever stroke in the perth community stroke study. Stroke 2004 ;35(3):731-5.
  • Fogelholm R, Murros K, Rissanen A, Avikainen S. Long term survival after primary intracerebral haemorrhage: a retrospective population based study. J Neurol Neurosurg Psychiatry. 2005;76(11):1534-8.
  • Masdeu J,Rubino FA. Management of lobar intracerebral hemorrhage, Medical or surgical. Neurology 1984; 34:381-3.
  • Uzuner N, Özkan S, Özdemir G. Türkiye’de beyin damar hastalıkları için major risk faktörleri. Türk Beyin Damar Hastalıkları Dergisi 2000;6(2):31-5.
  • Mc Guire AJ, Raikou M, Whittle I, Christensen MC. Long-term mortality, morbidity and hospital care following intracerebral hemorrhage: an 11-year cohort study. Cerebrovasc Dis 2007;23(2-3):221-8.
  • Ruiz-Sandoval JL, Ortega-Alvarez L, García-Navarro V, Romero-Vargas S, González-Cornejo S. Intracerebral haemorrhage in a referral hospital in the central-western region of Mexico. Rev Neurol 2005;40(11):65660.
  • Kurth T, Kase CS, Berger K, Schaeffner ES, Buring JE, Gaziano JM. Smoking and the risk of hemorrhagic stroke in men. Stroke 2003;34(10):1151-5.
  • Aluçlu MU, Yücel Y. Serebellar infarktlarda etyoloji, lokalizasyon ve prognoz. Dicle Tıp Dergisi 2006;33(1): 31-5.
  • Cheung RT, Zou LY. Use of the original, modified, or new intracerebral hemorrhage score to predict mortality and morbidity after intracerebral hemorrhage Stroke 2003;34(7):1717-22.
  • Naidech AM, Jovanovic B, Wartenberg KE, Parra A, Ostapkovich N, Connolly ES, Higher hemoglobin is associated with improved outcome after subarachnoid Hemorrhage Crit Care Med 2007;35(10):2454-6
  • van Asch CJ, Luitse MJ, Rinkel GJ, van der Tweel I, Algra A, Klijn CJ SO. Incidence, case fatality, and functional outcome of intracerebral haemorrhage over time, according to age, sex, and ethnic origin: a systematic review and meta-analysis. Lancet Neurol. 2010;9(2):167-76.
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma Yazısı
Yazarlar

Mustafa Yılmaz Bu kişi benim

Serpil Demirci Bu kişi benim

Yayımlanma Tarihi 1 Aralık 2011
Yayımlandığı Sayı Yıl 2011 Cilt: 2 Sayı: 4

Kaynak Göster

APA Yılmaz, M., & Demirci, S. (2011). The factors affecting mortality in patients with intracerebral hemorrhage. Journal of Clinical and Experimental Investigations, 2(4), 404-407. https://doi.org/10.5799/ahinjs.01.2011.04.0081
AMA Yılmaz M, Demirci S. The factors affecting mortality in patients with intracerebral hemorrhage. J Clin Exp Invest. Aralık 2011;2(4):404-407. doi:10.5799/ahinjs.01.2011.04.0081
Chicago Yılmaz, Mustafa, ve Serpil Demirci. “The Factors Affecting Mortality in Patients With Intracerebral Hemorrhage”. Journal of Clinical and Experimental Investigations 2, sy. 4 (Aralık 2011): 404-7. https://doi.org/10.5799/ahinjs.01.2011.04.0081.
EndNote Yılmaz M, Demirci S (01 Aralık 2011) The factors affecting mortality in patients with intracerebral hemorrhage. Journal of Clinical and Experimental Investigations 2 4 404–407.
IEEE M. Yılmaz ve S. Demirci, “The factors affecting mortality in patients with intracerebral hemorrhage”, J Clin Exp Invest, c. 2, sy. 4, ss. 404–407, 2011, doi: 10.5799/ahinjs.01.2011.04.0081.
ISNAD Yılmaz, Mustafa - Demirci, Serpil. “The Factors Affecting Mortality in Patients With Intracerebral Hemorrhage”. Journal of Clinical and Experimental Investigations 2/4 (Aralık 2011), 404-407. https://doi.org/10.5799/ahinjs.01.2011.04.0081.
JAMA Yılmaz M, Demirci S. The factors affecting mortality in patients with intracerebral hemorrhage. J Clin Exp Invest. 2011;2:404–407.
MLA Yılmaz, Mustafa ve Serpil Demirci. “The Factors Affecting Mortality in Patients With Intracerebral Hemorrhage”. Journal of Clinical and Experimental Investigations, c. 2, sy. 4, 2011, ss. 404-7, doi:10.5799/ahinjs.01.2011.04.0081.
Vancouver Yılmaz M, Demirci S. The factors affecting mortality in patients with intracerebral hemorrhage. J Clin Exp Invest. 2011;2(4):404-7.