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Clinical and Radiographic Predictors of Intracerebral Hemorrhage Outcome.
Interventional Neurology Pub Date : 2018-01-12 , DOI: 10.1159/000484571
Fawaz Al-Mufti 1, 2 , Ahmad M Thabet 1 , Tarundeep Singh 1 , Mohammad El-Ghanem 1, 2 , Krishna Amuluru 2, 3 , Chirag D Gandhi 4
Affiliation  

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.

中文翻译:


脑出血结果的临床和放射学预测因素。



背景技术每年在美国,脑出血(ICH)占所有中风病例的 10-15%。这些患者中只有不到 40% 能够达到长期功能独立,1 个月死亡率约为 40%。由于脑出血后的高发病率和死亡率,早期发现高危患者将有利于指导管理过程和护理目标。本综述旨在讨论可作为不良预后预测因素的相关临床和放射学特征,并检验其在预测 ICH 后患者预后方面的功效。摘要 对各种临床和放射学因素进行了文献综述。检查它们与 ICH 结果相关的预测价值。包括针对这些因素的研究,并分析其结果以了解发病率、患者结果和死亡率的趋势。关键信息 在本次综述中,我们检查了临床和放射学特征,发现这些特征在不同程度上与不良结果显着相关。在识别高危患者并进行相应分诊以及指导决策时,患者预后不良的临床和放射学预测因素非常宝贵。
更新日期:2019-11-01
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