Delayed intraventricular hemorrhage in moderate-to-severe traumatic brain injury: prevalence, associated risk factors, and prognosis
| Autor: | Emilia Naseva, Stefan Gabrovsky, Maria Laleva, Nikolay Gabrovsky, Nikolay Velinov |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Moderate to severe medicine.medical_specialty Neurology Traumatic brain injury Lesion 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine Brain Injuries Traumatic Prevalence medicine Humans Aged Cerebral Hemorrhage Neuroradiology medicine.diagnostic_test business.industry 030208 emergency & critical care medicine Interventional radiology Middle Aged Prognosis medicine.disease Surgery Intraventricular hemorrhage Female Neurology (clinical) Neurosurgery medicine.symptom Tomography X-Ray Computed business 030217 neurology & neurosurgery |
| Zdroj: | Acta Neurochirurgica. 158:1465-1472 |
| ISSN: | 0942-0940 0001-6268 |
| DOI: | 10.1007/s00701-016-2854-9 |
| Popis: | The presence of traumatic intraventricular hemorrhage (tIVH) on an admission CT scan is related to a worse outcome and increased mortality in patients with moderate and severe TBI. Currently, there is no available data regarding the predictive value of the appearance of tIVH as a delayed finding on follow-up CT scan. The purpose of this study was to determine the prevalence, associated risk factors, and prognosis of delayed tIVH. The study is based on 401 consecutive adult patients (age ≥ 18 years) with moderate-to-severe TBI admitted in our hospital for a 5-year period. At least one control CT was performed in 320 (79.8 %) patients. The prevalence of delayed tIVH was assessed and the potential risk factors and mortality were analyzed. Delayed tIVH appeared in 38 cases (11.9 % of the second CT scans and 9.5 % of all patients). The patients with delayed tIVH are significantly older (57.39 vs. 48.63 years, p = 0.009) and developed statistically significant more frequent enlargement of an existing lesion (47.4 vs. 20.2 %, p = 0.001) and appearance of a new lesion (100 vs. 33.7 %, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink