The risk factors and prognosis of delayed perihematomal edema in patients with spontaneous intracerebral hemorrhage

Purpose We hypothesize delayed perihematomal edema (DHE) leads to secondary injury after spontaneous intracerebral hemorrhage (sICH) with a poor prognosis. Hence, we need to investigate the risk factors of DHE and identify whether DHE will predict the poor outcome of sICH. Methods We retrospectively...

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Veröffentlicht in:CNS neuroscience & therapeutics 2019-10, Vol.25 (10), p.1189-1194
Hauptverfasser: Peng, Wen‐jie, Li, Qian, Tang, Jin‐hua, Reis, Cesar, Araujo, Camila, Feng, Rui, Yuan, Ming‐hao, Jin, Lin‐yan, Cheng, Ya‐li, Jia, Yan‐jie, Luo, Ye‐tao, Zhang, John, Yang, Jun
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Sprache:eng
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Zusammenfassung:Purpose We hypothesize delayed perihematomal edema (DHE) leads to secondary injury after spontaneous intracerebral hemorrhage (sICH) with a poor prognosis. Hence, we need to investigate the risk factors of DHE and identify whether DHE will predict the poor outcome of sICH. Methods We retrospectively recruited 121 patients with sICH admitted to the Department of Neurology from January 2014 to August 2018. After dividing all these patients into DHE group and non‐DHE group, we analyzed the potential risk factors and outcome of DHE using a multivariate logistic regression model. Results We conclude DHE after sICH associates with age, hospitalization time, hematoma shape, blood pressure upon admission, alcohol consumption, blood sodium level, and baseline hematoma volume within 24 hours after symptom onset, among which differences were statistically significant (P 
ISSN:1755-5930
1755-5949
DOI:10.1111/cns.13219