Abstract WP372: The Acute ICH Growth Score: Simple and Accurate Predictor of Hematoma Expansion in Patients with Acute Intracerebral Hemorrhage
| Autor: | F S Al-Ajlan, A M Demchuk, R I Aviv, D Rodriguez-Luna, C Molina, Y Silva, I Dzialowski, A Czlonkowska A, J M Boulanger, C Lum, G Gubitz, V Padma, J Roy, C S Kase, M D Hill, D Dowlatshahi |
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| Rok vydání: | 2017 |
| Předmět: |
Advanced and Specialized Nursing
Intracerebral hemorrhage medicine.medical_specialty business.industry High mortality Stroke volume 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences 0302 clinical medicine Hematoma Internal medicine Cardiology medicine In patient cardiovascular diseases Neurology (clinical) Cardiology and Cardiovascular Medicine business 030217 neurology & neurosurgery |
| Zdroj: | Stroke. 48 |
| ISSN: | 1524-4628 0039-2499 |
| DOI: | 10.1161/str.48.suppl_1.wp372 |
| Popis: | Background and Purpose: Acute intracerebral hemorrhage (ICH) hematoma expansion predicts high mortality and morbidity, occurring in a third of patients presenting with this condition. Recent studies correlated ultra-early hematoma growth and hematoma morphologic appearance with ICH expansion. Our purpose was to develop simple and clinically useful score that would predict ICH hematoma expansion accurately. Methods: This cohort included patients with primary or anticoagulation-associated ICH patients presenting 6 ml or > 33%). A 7-point acute ICH growth score was based on ultra-early hematoma growth > 5 mL/hour (yes=1), irregular morphology (yes=1), density heterogeneity (yes=1), presence of fluid-blood levels (yes=1), spot sign (yes=1), and use of anticoagulation (yes=2). Discrimination of the expansion score was assessed. Results: We retrospectively studied 301 primary or anticoagulation-associated intracerebral hemorrhage patients. The 7-point acute ICH growth score demonstrated good discrimination for hematoma expansion>6 mL or 33% (area under the curve of 0.76). Median and significant HE are shown in the table below (p Conclusions: In a multicenter prospective study, the ICH expansion score demonstrate good correlation with hematoma expansion, and included recently reported variables such as morphology and ultraearly growth. |
| Databáze: | OpenAIRE |
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