Mortality after hemorrhagic stroke

González‐Pérez, Antonio; Garcı́a-Dorado, David; Wallander, Mari‐Ann; McFeat, Gillian; Garcı́a-Rodrı́guez, Luis Alberto

doi:10.1212/wnl.0b013e31829e6eff

Cited by 112 publications

(96 citation statements)

References 24 publications

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“…ICH is a potentially devastating neurologic emergency with long-term functional independence achieved in only 12-39% of cases and mortality rates of 54% at 1 year [2]. Large retrospective cohort studies have shown a significant improvement in mortality rates since 2000 [3], although a meta-analysis of studies between 1980 and 2008 did not show a significant difference in those rates [4].…”

Section: Introductionmentioning

confidence: 99%

Clinical and Radiographic Predictors of Intracerebral Hemorrhage Outcome

et al. 2018

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Background: Intracerebral hemorrhage (ICH) represents 10-15% of all stroke cases in the US annually. Fewer than 40% of these patients ever reach long-term functional independence, and mortality rate is roughly 40% at 1 month. Due to the high morbidity and mortality rates after ICH, early detection of high-risk patients would be beneficial in directing the management course and goals of care. This review aims to discuss relevant clinical and radiographic characteristics that can serve as predictors of poor prognosis and examine their efficacy in predicting patient outcomes after ICH. Summary: A literature review was conducted on various clinical and radiographic factors. They were examined for their predictive value in relation to ICH outcome. Studies that focused on each of these factors were included, and their results analyzed for trends with regard to incidence, patient outcome, and mortality rate. Key Message: In this review, we examined clinical and radiographic characteristics that have been found to be significantly associated to a varying degree with poor outcome. Clinical and radiographic predictors of poor patient outcome are invaluable when it comes to identifying high-risk patients and triaging accordingly as well as guiding decision-making.

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Section: Introductionmentioning

confidence: 99%

Clinical and Radiographic Predictors of Intracerebral Hemorrhage Outcome

et al. 2018

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“…[1][2][3] To better estimate the prognosis after ICH, several studies investigated potential predictors for outcome. In addition to clinical status, demographic parameters and initial hemorrhage volume and the location of hematoma is associated with outcome.…”

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confidence: 99%

Specific Lobar Affection Reveals a Rostrocaudal Gradient in Functional Outcome in Spontaneous Intracerebral Hemorrhage

Gerner

Kuramatsu

Moeller

et al. 2017

Stroke

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Between 2008 and 2012, all consecutive patients with atraumatic ICH admitted to the Department of Neurology of the university hospital Background and Purpose-Several studies have reported a better functional outcome in lobar intracerebral hemorrhage (ICH) compared with deep location. However, among lobar ICH, a correlation of hemorrhage site-involving the specific lobes-with functional outcome has not been established. Methods-Conservatively treated patients with supratentorial ICH, admitted to our hospital over a 5-year period (2008)(2009)(2010)(2011)(2012), were retrospectively analyzed. Lobar patients were classified as isolated or overlapping ICH according to affected lobes. Demographic, clinical, and radiological characteristics were recorded and compared among lobar ICH patients using above subclassification. Functional outcome-dichotomized into favorable (modified Rankin Scale, 0-3) and unfavorable (modified Rankin Scale, 4-6)-was assessed after 3 and 12 months. Multivariate regression analysis was performed to identify predictors for favorable outcome.

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“…12 A study using data from The Health Improvement Network (THIN) estimated that, in the United Kingdom, the 30-day case-fatality rates for ICH and SAH were 42.0% and 28.7%, respectively. 13 Other studies reported higher mortality after HS, with a case-fatality rate at 1 month close to 50%. 14,15 There is a lack of information on direct comparisons of the risk of HS in patients receiving anticoagulant drugs, antiplatelet drugs, or combination therapy.…”

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confidence: 92%