当前位置： SCI文献检索 > Neurocritical Care期刊下所有文献 > Expansion-Prone Hematoma: Defining a Population at High Risk of Hematoma Growth and Poor Outcome.

Expansion-Prone Hematoma: Defining a Population at High Risk of Hematoma Growth and Poor Outcome.

Abstract：

BACKGROUND:Noncontrast computed tomography (CT) markers are increasingly used for predicting hematoma expansion. The aim of our study was to investigate the predictive value of expansion-prone hematoma in predicting hematoma expansion and outcome in patients with intracerebral hemorrhage (ICH). METHODS:Between July 2011 and January 2017, ICH patients who underwent baseline CT scan within 6 h of symptoms onset and follow-up CT scan were recruited into the study. Expansion-prone hematoma was defined as the presence of one or more of the following imaging markers: blend sign, black hole sign, or island sign. The diagnostic performance of blend sign, black hole sign, island sign, and expansion-prone hematoma in predicting hematoma expansion was assessed. Predictors of hematoma growth and poor outcome were analyzed using multivariable logistical regression analysis. RESULTS:A total of 282 patients were included in our final analysis. Of 88 patients with early hematoma growth, 69 (78.4%) had expansion-prone hematoma. Expansion-prone hematoma had a higher sensitivity and accuracy for predicting hematoma expansion and poor outcome when compared with any single imaging marker. After adjustment for potential confounders, expansion-prone hematoma independently predicted hematoma expansion (OR 28.33; 95% CI 12.95-61.98) and poor outcome (OR 5.67; 95% CI 2.82-11.40) in multivariable logistic model. CONCLUSION:Expansion-prone hematoma seems to be a better predictor than any single noncontrast CT marker for predicting hematoma expansion and poor outcome. Considering the high risk of hematoma expansion in these patients, expansion-prone hematoma may be a potential therapeutic target for anti-expansion treatment in future clinical studies.

journal_name

Neurocrit Care

journal_title

Neurocritical care

authors

Li Q,Shen YQ,Xie XF,Xue MZ,Cao D,Yang WS,Li R,Deng L,Wei M,Lv FJ,Wu GF,Tang ZP,Xie P

doi

10.1007/s12028-018-0644-3

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

601-608

issue

3

eissn

1541-6933

issn

1556-0961

pii

10.1007/s12028-018-0644-3

journal_volume

30

pub_type

杂志文章

相关文献

Neurocritical Care文献大全
  • Mandatory Intensivist Management Decreases Length of Stay, Facilitates an Increase in Admissions and Minimizes Closure of a Neurocritical Care Unit.

    abstract：BACKGROUND:The primary objectives of this study were to identify patient and community benefits of mandatory intensivist management in a neurocritical care (NCC) unit. Our hospital recently mandated intensivist management for patients admitted to the NCC unit. As one of the only comprehensive stroke centers in Orlando,...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-015-0148-3

    authors： Rodricks MB,Hawkins SE,Anderson GA,Basignani C,Tuppeny M

    更新日期：2015-12-01 00:00:00

  • Effect of Desmopressin on Platelet Dysfunction During Antiplatelet Therapy: A Systematic Review.

    abstract：BACKGROUND AND OBJECTIVE:An increasing number of patients receive antiplatelet therapy. Patients exposed to surgery while receiving platelet inhibitors hold an increased bleeding risk. Especially in neurosurgery and neurocritical care patients, bleeding and hematoma expansion are feared complications as even minor blee...

    journal_title：Neurocritical care

    pub_type： 杂志文章,评审

    doi：10.1007/s12028-020-01055-6

    authors： Andersen LK,Hvas AM,Hvas CL

    更新日期：2020-08-04 00:00:00

  • The Future of Neurocritical Care Research: Proceedings and Recommendations from the Fifth Neurocritical Care Research Network Conference.

    abstract：:The Fifth Neurocritical Care Research Network (NCRN) Conference held in Boca Raton, Florida, in September of 2018 was devoted to challenging the current status quo and examining the role of the Neurocritical Care Society (NCS) in driving the science and research of neurocritical care. The aim of this in-person meeting...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-019-00767-8

    authors： Hocker S,Shah S,Vespa P,Provencio JJ,Calvillo E,Olson DM,Venkatasubba Rao CP,Hemphill JC 3rd,Helbok R,Human T,Kamel H,Madden LK,Nyquist P,Bentho O,O'Phelan K,Lewin JJ 3rd,Alexander S,Ziai W,Chou SH,Rincon F,McNett

    更新日期：2020-02-01 00:00:00

  • Treatment of Hyponatremia in Patients with Acute Neurological Injury.

    abstract：BACKGROUND:Little data exist regarding the practice of sodium management in acute neurologically injured patients. This study describes the practice variations, thresholds for treatment, and effectiveness of treatment in this population. METHODS:This retrospective, multicenter, observational study identified 400 ICU p...

    journal_title：Neurocritical care

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s12028-016-0343-x

    authors： Human T,Cook AM,Anger B,Bledsoe K,Castle A,Deen D,Gibbs H,Lesch C,Liang N,McAllen K,Morrison C,Parker D Jr,Rowe AS,Rhoney D,Sangha K,Santayana E,Taylor S,Tesoro E,Brophy G

    更新日期：2017-10-01 00:00:00

  • Continuous brain tissue oxygenation monitoring in the management of pediatric stroke.

    abstract：BACKGROUND:Direct invasive monitoring of brain tissue oxygenation (PbtO(2)) has been routinely utilized to predict cerebral ischemia and to prevent secondary injury in patients with traumatic brain injury (TBI) and vasospasm secondary to subarachnoid hemorrhage (SAH). The safety and utility of these devices in the pedi...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-011-9531-x

    authors： Allen BB,Hoffman CE,Traube CS,Weinstein SL,Greenfield JP

    更新日期：2011-12-01 00:00:00

  • Initial Conservative Management of Severe Hemispheric Stroke Reduces Decompressive Craniectomy Rates.

    abstract：BACKGROUND:Pooled European trial results of early decompressive craniectomy (DC) for severe hemispheric stroke did not require radiographic mass effect as an inclusion criterion. Early surgery for supratentorial cerebral hemorrhage does not improve functional status or survival compared to initial conservative medical ...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-016-0270-x

    authors： Akins PT,Axelrod YV,Arshad ST,Guppy KH

    更新日期：2016-08-01 00:00:00

  • Prospective, randomized trial of higher goal hemoglobin after subarachnoid hemorrhage.

    abstract：BACKGROUND AND PURPOSE:In patients with subarachnoid hemorrhage (SAH), higher hemoglobin (HGB) has been associated with better outcomes, but packed red blood cell (PRBC) transfusions with worse outcomes. We performed a prospective pilot trial of goal HGB after SAH. METHODS:Forty-four patients with SAH and high risk fo...

    journal_title：Neurocritical care

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s12028-010-9424-4

    authors： Naidech AM,Shaibani A,Garg RK,Duran IM,Liebling SM,Bassin SL,Bendok BR,Bernstein RA,Batjer HH,Alberts MJ

    更新日期：2010-12-01 00:00:00

  • Predictors of nosocomial pneumonia in intracerebral hemorrhage patients: a multi-center observational study.

    abstract：BACKGROUND:Nosocomial pneumonia (NP) is a frequent complication among spontaneous intracerebral hemorrhage (sICH) patients. This study was aimed at identifying in-hospital risk factors that predispose sICH patients to NP. METHODS:We identified 591 consecutive sICH subjects admitted to six tertiary care hospitals betwe...

    journal_title：Neurocritical care

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s12028-014-0065-x

    authors： Divani AA,Hevesi M,Pulivarthi S,Luo X,Souslian F,Suarez JI,Bershad EM

    更新日期：2015-04-01 00:00:00

  • Does prone positioning increase intracranial pressure? A retrospective analysis of patients with acute brain injury and acute respiratory failure.

    abstract：PURPOSE:The objective of our trial was to obtain more comprehensive data on the risks and benefits of kinetic therapy in intensive care patients with intracerebral pathology. METHODS:Standardized data of prone positioning in our NeuroIntensive Care Unit were collected from 2007 onward. A post hoc analysis of all avail...

    journal_title：Neurocritical care

    pub_type： 临床试验,杂志文章

    doi：10.1007/s12028-014-0004-x

    authors： Roth C,Ferbert A,Deinsberger W,Kleffmann J,Kästner S,Godau J,Schüler M,Tryba M,Gehling M

    更新日期：2014-10-01 00:00:00

  • ABO Blood Type and Hematoma Expansion After Intracerebral Hemorrhage: An Exploratory Analysis.

    abstract：BACKGROUND/PURPOSE:Blood type has become an increasingly recognized risk factor for coagulopathy. We explored the association between blood type and hematoma expansion (HE) after intracerebral hemorrhage (ICH). METHODS:Spontaneous ICH patients prospectively enrolled in an ongoing ICH cohort study at Columbia Universit...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-018-0655-0

    authors： Roh D,Martin A,Sun CH,Eisenberger A,Boehme A,Elkind MSV,Pucci JU,Murthy S,Kamel H,Sansing L,Park S,Agarwal S,Connolly ES,Claassen J,Hod E,Francis RO

    更新日期：2019-08-01 00:00:00

  • The prognostic value of the EEG in postanoxic coma.

    abstract：INTRODUCTION:Several studies have been performed to assess the prognostic value of early neurological and neurophysiological findings in patients with postanoxic coma, but they have not led to precise, generally accepted, prognostic rules. This study was performed to assess whether it is possible to create a prognostic...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-008-9178-4

    authors： Roest A,van Bets B,Jorens PG,Baar I,Weyler J,Mercelis R

    更新日期：2009-01-01 00:00:00

  • Cefepime-induced nonconvulsive status epilepticus: case report and review.

    abstract：INTRODUCTION:A case of cefepime-induced nonconvulsive status epilepticus in a 15-year-old child with end stage renal disease on hemodialysis is reported. Clinical symptoms and EEG dramatically improved 48 h after discontinuation of cefepime. METHODS:Twenty-five cases of nonconvulsive status epilepticus associated with...

    journal_title：Neurocritical care

    pub_type： 杂志文章,评审

    doi：10.1007/s12028-008-9166-8

    authors： Thabet F,Al Maghrabi M,Al Barraq A,Tabarki B

    更新日期：2009-01-01 00:00:00

  • The Use of Continuous EEG Monitoring in Intensive Care Units in The Netherlands: A National Survey.

    abstract：BACKGROUND:Currently, continuous electroencephalographic monitoring (cEEG) is the only available diagnostic tool for continuous monitoring of brain function in intensive care unit (ICU) patients. Yet, the exact relevance of routinely applied ICU cEEG remains unclear, and information on the implementation of cEEG, espec...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-018-0525-9

    authors： Hilkman DMW,van Mook WNKA,Mess WH,van Kranen-Mastenbroek VHJM

    更新日期：2018-10-01 00:00:00

  • Automated quantitative pupillometry for the prognostication of coma after cardiac arrest.

    abstract：BACKGROUND:Sedation and therapeutic hypothermia (TH) delay neurological responses and might reduce the accuracy of clinical examination to predict outcome after cardiac arrest (CA). We examined the accuracy of quantitative pupillary light reactivity (PLR), using an automated infrared pupillometry, to predict outcome of...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-014-9981-z

    authors： Suys T,Bouzat P,Marques-Vidal P,Sala N,Payen JF,Rossetti AO,Oddo M

    更新日期：2014-10-01 00:00:00

  • Clinical features and independent prognostic factors for acute bacterial meningitis in adults.

    abstract：BACKGROUND:Clinical recognition of acute bacterial meningitis (ABM) and its early prognostication would guide the degree of intensive treatment required. We aimed to study the clinical features and factors associated with death in patients with community acquired ABM. METHODS:Adult patients with clinically suspected c...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-010-9396-4

    authors： Vibha D,Bhatia R,Prasad K,Srivastava MV,Tripathi M,Singh MB

    更新日期：2010-10-01 00:00:00

  • Spontaneous cerebral air embolism associated with remote lung surgery.

    abstract：INTRODUCTION:Airembolism without obvious trauma or surgery is rare. METHODS:Case report. RESULTS:Four years after resection of a non-small cell lung cancer, a 57-year-old man presented with recurrent episodes of sudden onset neurological deficits. Head computer tomographic (CT) scans suggested air embolism, and furth...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-008-9073-z

    authors： Gardner R,Wang LH,Ford A,Keyrouz SG

    更新日期：2008-01-01 00:00:00

  • Inter-observer agreement on the diagnosis of neurocardiogenic injury following aneurysmal subarachnoid hemorrhage.

    abstract：BACKGROUND:Neurocardiogenic injury results from increased sympathetic nervous system activation following acute brain injury. No diagnostic criteria for neurocardiogenic injury exist, and agreement has not been tested. We investigated the agreement by neurointensivists for the presence of neurocardiogenic injury on rou...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-013-9941-z

    authors： Fletcher JJ,Meurer W,Dunne M,Rajajee V,Jacobs TL,Sheehan KM,Nathan B,Kade AM

    更新日期：2014-04-01 00:00:00

  • Brain resuscitation in the drowning victim.

    abstract：:Drowning is a leading cause of accidental death. Survivors may sustain severe neurologic morbidity. There is negligible research specific to brain injury in drowning making current clinical management non-specific to this disorder. This review represents an evidence-based consensus effort to provide recommendations fo...

    journal_title：Neurocritical care

    pub_type： 杂志文章,评审

    doi：10.1007/s12028-012-9747-4

    authors： Topjian AA,Berg RA,Bierens JJ,Branche CM,Clark RS,Friberg H,Hoedemaekers CW,Holzer M,Katz LM,Knape JT,Kochanek PM,Nadkarni V,van der Hoeven JG,Warner DS

    更新日期：2012-12-01 00:00:00

  • Unilateral third nerve palsy caused by Guillain-Barré Syndrome.

    abstract：BACKGROUND:Highly asymmetric clinical signs in a patient suggest the need for caution in making the diagnosis of Guillain-Barré Syndrome (GBS). METHODS:Case report and literature review. We present a case of strictly unilateral left third cranial nerve palsy in a patient with GBS, review other highly asymmetrical cran...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1385/NCC:1:4:461

    authors： St Louis EK,Jacobson DM

    更新日期：2004-01-01 00:00:00

  • Therapeutic hypothermia for acute liver failure: toward a randomized, controlled trial in patients with advanced hepatic encephalopathy.

    abstract：:Acute liver failure (ALF), the abrupt loss of liver function in a patient without previous liver disease, remains a highly mortal condition. Patients with ALF often succumb to their liver injury after the development of cerebral edema, resulting in intracranial hypertension and brain herniation. While the management o...

    journal_title：Neurocritical care

    pub_type： 杂志文章,评审

    doi：10.1007/s12028-008-9090-y

    authors： Stravitz RT,Lee WM,Kramer AH,Kramer DJ,Hynan L,Blei AT

    更新日期：2008-01-01 00:00:00

  • Controlled Hypercapnia Enhances Cerebral Blood Flow and Brain Tissue Oxygenation After Aneurysmal Subarachnoid Hemorrhage: Results of a Phase 1 Study.

    abstract：BACKGROUND:This study investigated if cerebral blood flow (CBF) regulation by changes of the arterial partial pressure of carbon dioxide (PaCO2) can be used therapeutically to increase CBF and improve neurological outcome after subarachnoid hemorrhage (SAH). METHODS:In 12 mechanically ventilated poor-grade SAH-patient...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-016-0246-x

    authors： Westermaier T,Stetter C,Kunze E,Willner N,Holzmeier J,Weiland J,Koehler S,Lotz C,Kilgenstein C,Ernestus RI,Roewer N,Muellenbach RM

    更新日期：2016-10-01 00:00:00

  • Hyperbaric Oxygen Protects Against Cerebral Damage in Permanent Middle Cerebral Artery Occlusion Rats and Inhibits Autophagy Activity.

    abstract：BACKGROUND:To investigate the effects of hyperbaric oxygen (HBO) on brain damage and autophagy levels in a rat model of middle cerebral artery occlusion. METHODS:Neurologic injury and infarcted areas were evaluated according to the modified neurological severity score and 2,3,5-triphenyltetrazolium chloride staining. ...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-018-0577-x

    authors： Lu K,Wang H,Ge X,Liu Q,Chen M,Shen Y,Liu X,Pan S

    更新日期：2019-02-01 00:00:00

  • Neurologic outcomes from high risk descending thoracic and thoracoabdominal aortic operations in the era of endovascular repair.

    abstract：INTRODUCTION:Spinal cord ischemia and stroke are recognized complications of descending thoracic (DTA) and thoracoabdominal aortic (TAA) operations. However, there are limited data available on outcomes since the advent of thoracic endovascular aortic repair (TEVAR). METHODS:We reviewed charts from consecutive patient...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-008-9104-9

    authors： Messé SR,Bavaria JE,Mullen M,Cheung AT,Davis R,Augoustides JG,Gutsche J,Woo EY,Szeto WY,Pochettino A,Woo YJ,Kasner SE,McGarvey M

    更新日期：2008-01-01 00:00:00

  • Reliability in interpretation of median somatosensory evoked potentials in the setting of coma: factors and implications.

    abstract：BACKGROUND:Median nerve short-latency somatosensory evoked potentials (SSEPs) are useful in determining prognosis for awakening after coma following hypoxic ischemic encephalopathy, but reliability of interpretation is unclear. OBJECTIVE:To measure inter- and intra-observer reliability of determining presence or absen...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-009-9251-7

    authors： Hakimi K,Kinney G,Kraft G,Micklesen P,Robinson L

    更新日期：2009-12-01 00:00:00

  • Prediction of poor outcome in cerebellar infarction by diffusion MRI.

    abstract：OBJECTIVE:Identification of patients with posterior fossa infarction at risk for neurological deterioration remains a challenge. MRI-based assessments of MCA infarction can predict poor outcome. Similar quantitative imaging measures after cerebellar stroke have not been studied. We tested the hypothesis that MRI-based ...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-013-9886-2

    authors： Tchopev Z,Hiller M,Zhuo J,Betz J,Gullapalli R,Sheth KN

    更新日期：2013-12-01 00:00:00

  • Intracranial pressure monitoring: fundamental considerations and rationale for monitoring.

    abstract：:Traumatic brain injury (TBI) is a major cause of death and disability worldwide. In large part critical care for TBI is focused on the identification and management of secondary brain injury. This requires effective neuromonitoring that traditionally has centered on intracranial pressure (ICP). The purpose of this pap...

    journal_title：Neurocritical care

    pub_type： 杂志文章,评审

    doi：10.1007/s12028-014-0048-y

    authors： Chesnut R,Videtta W,Vespa P,Le Roux P,Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring.

    更新日期：2014-12-01 00:00:00

  • Minor trauma may lead to traumatic internal carotid artery dissection.

    abstract：:A farmer's wife was slapped by her cow's tail during milking. There was no obvious injury, but afterward she first developed unusual headaches of unknown origin and then a severe stroke 7 days later. Further diagnostics, including magnetic resonance imaging techniques, revealed a dissection of the carotid artery to be...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1385/NCC:3:3:254

    authors： Huber R,Kassubek J

    更新日期：2005-01-01 00:00:00

  • The effect of ambient-light conditions on quantitative pupillometry: a history of rubber cup.

    abstract：: ...

    journal_title：Neurocritical care

    pub_type： 评论,信件

    doi：10.1007/s12028-018-0664-z

    authors： Couret D,Simeone P,Freppel S,Velly L

    更新日期：2019-04-01 00:00:00

  • Advanced hemodynamic monitoring: principles and practice in neurocritical care.

    abstract：:Advanced hemodynamic monitoring is necessary for many patients with acute brain and/or spinal cord injury. Optimizing cerebral and systemic physiology requires multi-organ system function monitoring. Hemodynamic manipulations are cardinal among interventions to regulate cerebral perfusion pressure and cerebral blood f...

    journal_title：Neurocritical care

    pub_type： 杂志文章,评审

    doi：10.1007/s12028-011-9568-x

    authors： Lazaridis C

    更新日期：2012-02-01 00:00:00

  • Relation of serum TNF-α and TNF-α genotype with delayed cerebral ischemia and outcome in subarachnoid hemorrhage.

    abstract：INTRODUCTION:The pathogenesis of delayed cerebral ischemia (DCI) after subarachnoid hemorrhage (SAH) remains obscure. The authors assessed the relationship of tumor necrosis factor alpha (TNF-α) and TNF-α gene polymorphisms with occurrence of DCI and poor outcome at 3 months. METHODS:Serum levels of TNF-α were measure...

    journal_title：Neurocritical care

    pub_type： 杂志文章

    doi：10.1007/s12028-011-9556-1

    authors： Beeftink MM,Ruigrok YM,Rinkel GJ,van den Bergh WM

    更新日期：2011-12-01 00:00:00