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- 저자 : ( Bernard Benjamin P Albano ) (검색결과 1 건)
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( Bernard Benjamin P Albano ),( Josephine C Gutierrez ),( Jose P Tirona ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Identifi cation of outcome predictors in stroke remains important for the application of early aggressive treatment and establishment of a reliable prognosis. Methods: The objective was to determine the clinical characteristics of Filipino patients with hemorrhagic stroke and identify parameters that predict early neurological deterioration (END) and death. Charts of hemorrhagic stroke patients that met the inclusion criteria were reviewed. Relevant data on admission were recorded. Canadian Stroke Score (CSS) and Glasgow Coma Scale (GCS) on the fi rst 3 hospital days and mortality at any time during hospital stay were also recorded. Results: Eighty-eight patients were included (49 male), mean age was 56.7+12.9. The most common presenting symptom was hemiparesis (29.5%), and the most common location was striatocapsular (31.8%). Forty nine patients (55.7%) had severe stroke and 31 (35.2%) had severe impairment of consciousness. Fifty six patients (67%) had ECG abnormalities. The incidence of END was 38.6% (95%CI 28.9, 49.1), while in-hospital mortality rate was 29.5% (95% CI 20.7, 39.7). Conclusions: Independent predictors of in-hospital death were high systolic blood pressure (SBP), “severe” stroke, presence of intra-ventricular (IV) extension and subarachnoid hemorrhage (SAH). Independent predictors of END were high SBP, “severe” stroke and presence of leukocytosis. In hemorrhagic stroke, the ECG score has a role in risk stratifi cation and that aggressive SBP reduction may signifi cantly reduce the occurrence of END and in-hospital mortality.
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