Hypertension is a Leading Cause of Nontraumatic Intracerebral Hemorrhage in Young Adults
| Autor: | Luca Rosignoli, Nandakumar Nagaraja, Abhishek Lunagariya, Matthew Broderick |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Time Factors Adolescent Hospitals Rehabilitation Blood Pressure Intracranial Hemorrhage Hypertensive Risk Assessment Article Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors Clinical history Chart review medicine Humans Hospital Mortality cardiovascular diseases Young adult Stroke Resuscitation Orders Retrospective Studies Skilled Nursing Facilities Intracerebral hemorrhage business.industry DNR orders Rehabilitation Age Factors Hospices Middle Aged medicine.disease Patient Discharge nervous system diseases Treatment Outcome Hypertension Etiology Female Surgery Neurology (clinical) Skilled Nursing Facility Cardiology and Cardiovascular Medicine business 030217 neurology & neurosurgery |
| Zdroj: | J Stroke Cerebrovasc Dis |
| ISSN: | 1052-3057 |
| DOI: | 10.1016/j.jstrokecerebrovasdis.2020.104719 |
| Popis: | OBJECTIVE: To evaluate the etiology and discharge outcome of non-traumatic intracerebral hemorrhage (ICH) in young adults admitted to a comprehensive stroke center. METHODS: A retrospective chart review was performed on patients with a discharge diagnosis of non-traumatic ICH admitted from 7/1/2011 to 6/30/2016. Data was collected on demographics, clinical history, ICH score, hemorrhage location, do-not-resuscitate (DNR) orders, likely etiology, and discharge disposition. Categorical data was reported as percentage. Chi-squared test was performed to evaluate association of location of ICH, etiology of ICH, and ICH score with the discharge outcome. RESULTS: Sixty-three patients met the study criteria, with mean age 35.4 ± 6.4 years including 26 (41%) women and 40 (64%) whites. Headache (65%) and change in mental status (48%) were the most common presenting symptoms. Hemorrhage was most commonly seen in the deep structures in 29 (46%) patients followed by lobar ICH in 14 (22%) patients. The most common etiology of ICH was hypertension in 23 (37%) patients, followed by vascular abnormalities in 18 (29%) patients. Forty-two (67%) had good outcome defined as discharge to home (n=25) or acute inpatient rehabilitation (n=17). Twenty-one (33%) patients had bad outcome with discharge to skilled nursing facility (n=6), hospice (n=1) or died in the hospital (n=14). Hospital DNR orders were noted in 11 (18%) patients. Higher ICH score (p |
| Databáze: | OpenAIRE |
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