Intracranial Hypertension After Spontaneous Intracerebral Hemorrhage: A Systematic Review and Meta-analysis of Prevalence and Mortality Rate.

Abstract:

:The objective of this study was to determine the prevalence of intracranial hypertension (IHT) and the associated mortality rate in patients who suffered from primary intracerebral hemorrhage (ICH). A secondary objective was to assess predisposing factors to IHT development. We conducted a systematic literature search of major electronic databases (MEDLINE, EMBASE, and Cochrane Library), for studies that assessed intracranial pressure (ICP) monitoring in patients with acute ICH. Study level and outcome measures were extracted. The meta-analysis was performed using a random-effects model. A total of six studies comprising 381 patients were pooled to estimate the overall prevalence of any episode of IHT (ICP > 20 mmHg) after ICH. The pooled prevalence rate for any episode of IHT after ICH was 67% (95% CI 51-84%). Four studies comprising 239 patients were pooled in order to estimate the overall mortality rate associated with IHT. Pooled mortality rate was 50% (95% CI 24-76%). For both outcomes, heterogeneity was statistically significant, and risk of bias was nonsignificant. Reported variables correlated significantly with increased ICP were lower Glasgow Coma Scale score at admission, midline shift, hemorrhage volume, and hydrocephalus. The prevalence and mortality rates associated with IHT after ICH are high and may be underestimated. Predicting factors for the development of IHT reflect the magnitude of the primary injury. However, the results of present meta-analysis should be interpreted with caution due to methodological limitations such as selection bias of patients who had ICP monitoring, and lack of standardized IHT definition.

journal_name

Neurocrit Care

journal_title

Neurocritical care

authors

Godoy DA,Núñez-Patiño RA,Zorrilla-Vaca A,Ziai WC,Hemphill JC 3rd

doi

10.1007/s12028-018-0658-x

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

176-187

issue

1

eissn

1541-6933

issn

1556-0961

pii

10.1007/s12028-018-0658-x

journal_volume

31

pub_type

杂志文章,meta分析
  • Diagnostic Accuracy of Procalcitonin for Early Aspiration Pneumonia in Critically Ill Patients with Coma: A Prospective Study.

    abstract:BACKGROUND:Early diagnostic orientation for differentiating pneumonia from pneumonitis at the early stage after aspiration would be valuable to avoid unnecessary antibiotic therapy. We assessed the accuracy of procalcitonin (PCT) in diagnosing aspiration pneumonia (AP) in intensive care unit (ICU) patients requiring me...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-018-0623-8

    authors: Legriel S,Grigoresco B,Martel P,Henry-Lagarrigue M,Lvovschi V,Troché G,Amara M,Jacq G,Bruneel F,Bernard M,Marinier A,Bedos JP,PCT INHAL study group.

    更新日期:2019-04-01 00:00:00

  • Spinal epidural abscess.

    abstract:INTRODUCTION:The incidence of spinal epidural abscesses (SEAs) is rising. Although increased awareness has led to decreased mortality, morbidity remains unacceptably high, with rapid deterioration of neurological status when there is a delay in initiation of treatment. Therefore, we need to build a better understanding...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1385/NCC:2:3:245

    authors: Kumar K,Hunter G

    更新日期:2005-01-01 00:00:00

  • Implementation of a model of robotic tele-presence (RTP) in the neuro-ICU: effect on critical care nursing team satisfaction.

    abstract:INTRODUCTION:Robotic tele-presence (RTP) is a form of mobile telemedicine, which enables a direct face-to-face rapid response by the physician, instead of the traditional telephonic paradigm. We hypothesized that a model of RTP for after-hour ICU rounds and emergencies would be associated with improved ICU nurse satisf...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-012-9712-2

    authors: Rincon F,Vibbert M,Childs V,Fry R,Caliguri D,Urtecho J,Rosenwasser R,Jallo J

    更新日期:2012-08-01 00:00:00

  • Approach to neuromuscular disorders in the intensive care unit.

    abstract::Neuromuscular disorders increasingly are recognized as a complication in patients in the intensive care unit (ICU) and represent a common cause of prolonged ventilator dependency. The distinct syndromes of critical illness myopathy, prolonged neuromuscular blockade, and critical illness polyneuropathy (CIP) may arise ...

    journal_title:Neurocritical care

    pub_type: 杂志文章,评审

    doi:10.1385/NCC:3:3:195

    authors: Gorson KC

    更新日期:2005-01-01 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

  • Intranasal perfluorochemical spray for preferential brain cooling in sheep.

    abstract:INTRODUCTION:Hypothermic brain protection has been linked to how rapidly cooling is initiated and how quickly and uniformly the therapeutic hypothermic zone (THZ) is reached. The nasopharyngeal (NP) approach is uniquely suited for preferential brain cooling due to anatomic proximity to the cerebral circulation, caverno...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-008-9064-0

    authors: Wolfson MR,Malone DJ,Wu J,Hoffman J,Rozenberg A,Shaffer TH,Barbut D

    更新日期:2008-01-01 00:00:00

  • Spontaneous Intracranial Hemorrhage in Pregnancy: A Systematic Review of the Literature.

    abstract::Stroke in pregnant women has a mortality rate of 1.4 deaths per 100,000 deliveries. Vascular malformations are the most common cause of hemorrhagic stroke in this population; preeclampsia and other risk factors have been identified. However, nearly a quarter of strokes have an undeterminable cause. Spontaneous intracr...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-018-0501-4

    authors: Ascanio LC,Maragkos GA,Young BC,Boone MD,Kasper EM

    更新日期:2019-02-01 00:00:00

  • Cerebral blood flow and transcranial doppler sonography measurements of CO2-reactivity in acute traumatic brain injured patients.

    abstract:BACKGROUND:Cerebral blood flow (CBF) measurements are helpful in managing patients with traumatic brain injury (TBI), and testing the cerebrovascular reactivity to CO(2) provides information about injury severity and outcome. The complexity and potential hazard of performing CBF measurements limits routine clinical use...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-012-9727-8

    authors: Reinstrup P,Ryding E,Asgeirsson B,Hesselgard K,Unden J,Romner B

    更新日期:2014-02-01 00:00:00

  • Intrathecal saline infusion: an emergency procedure in a patient with spontaneous intracranial hypotension.

    abstract:BACKGROUND:Spontaneous intracranial hypotension (SIH) is a neurologic condition with the prototypical symptom of orthostatic headache. We report a dramatic case of SIH with life-threatening bilateral hygroma and uncal herniation. METHODS:Case report. RESULTS:A 44-year-old male patient presenting with orthostatic head...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-012-9783-0

    authors: Sass C,Kosinski C,Schmidt P,Mull M,Schulz J,Schiefer J

    更新日期:2013-08-01 00:00:00

  • Blood Metabolomic Predictors of 1-Year Outcome in Subarachnoid Hemorrhage.

    abstract:BACKGROUND:Delayed neurological deficit (DND) is the most important cause of morbidity and mortality in patients with subarachnoid hemorrhage (SAH) whose aneurysms have been secured. However, the methods currently used to predict the development of DND, such as trans-cranial Doppler or levels biochemical markers in blo...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-014-0089-2

    authors: Sjöberg RL,Bergenheim T,Mörén L,Antti H,Lindgren C,Naredi S,Lindvall P

    更新日期:2015-10-01 00:00:00

  • Serum neuron-specific enolase levels from the same patients differ between laboratories: assessment of a prospective post-cardiac arrest cohort.

    abstract:BACKGROUND:In comatose post-cardiac arrest patients, a serum neuron-specific enolase (NSE) level of >33 μg/L within 72 h was identified as a reliable marker for poor outcome in a large Dutch study (PROPAC), and this level was subsequently adopted in an American Academy of Neurology practice parameter. Later studies rep...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-013-9867-5

    authors: Mlynash M,Buckwalter MS,Okada A,Caulfield AF,Venkatasubramanian C,Eyngorn I,Verbeek MM,Wijman CA

    更新日期:2013-10-01 00:00:00

  • Quantitative Serial CT Imaging-Derived Features Improve Prediction of Malignant Cerebral Edema after Ischemic Stroke.

    abstract:INTRODUCTION:Malignant cerebral edema develops in a small subset of patients with hemispheric strokes, precipitating deterioration and death if decompressive hemicraniectomy (DHC) is not performed in a timely manner. Predicting which stroke patients will develop malignant edema is imprecise based on clinical data alone...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-020-01056-5

    authors: Foroushani HM,Hamzehloo A,Kumar A,Chen Y,Heitsch L,Slowik A,Strbian D,Lee JM,Marcus DS,Dhar R

    更新日期:2020-12-01 00:00:00

  • Stress-Induced Hyperglycemia and Remote Diffusion-Weighted Imaging Lesions in Primary Intracerebral Hemorrhage.

    abstract:BACKGROUND AND PURPOSE:Stress-induced hyperglycemia (SIH) is the relative transient increase in glucose during a critical illness such as intracerebral hemorrhage (ICH) and is likely to play an important role in the pathogenesis of remote diffusion-weighted imaging (DWI) lesion (R-DWIL) in primary ICH. We sought to det...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-019-00747-y

    authors: Ye XH,Cai XL,Nie DL,Chen YJ,Li JW,Xu XH,Cai JS,Liu ZR,Yin XZ,Song SJ,Tong LS,Gao F

    更新日期:2020-04-01 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

  • Pneumocephalus: case illustrations and review.

    abstract:BACKGROUND:Pneumocephalus is commonly encountered after neurosurgical procedures but can also be caused by craniofacial trauma and tumors of the skull base and rarely, can occur spontaneously. Contributing factors for the development of pneumocephalus include head position, duration of surgery, nitrous oxide (N(2)O) an...

    journal_title:Neurocritical care

    pub_type: 杂志文章,评审

    doi:10.1007/s12028-010-9363-0

    authors: Schirmer CM,Heilman CB,Bhardwaj A

    更新日期:2010-08-01 00:00:00

  • Terson's syndrome.

    abstract:BACKGROUND:Terson's syndrome is intraocular hemorrhage (IOH) subsequent to subarachnoid hemorrhage (SAH). Its presence is associated with higher mortality in SAH. We report a case of Terson's syndrome and review the literature. CASE REPORT:A 71-year-old Caucasian gentleman collapsed and became comatose. Past medical h...

    journal_title:Neurocritical care

    pub_type: 杂志文章,评审

    doi:10.1007/s12028-011-9555-2

    authors: Hassan A,Lanzino G,Wijdicks EF,Rabinstein AA,Flemming KD

    更新日期:2011-12-01 00:00:00

  • Seizures among long-term survivors of conservatively treated ICH patients: incidence, risk factors, and impact on functional outcome.

    abstract:BACKGROUND:Seizures are a common complication after intracerebral hemorrhage (ICH) but there is a substantial lack of information on the long-term incidence in ICH survivors and whether post-ICH seizures affect functional long-term outcome. METHODS:Over a five-year period 464 consecutive patients with spontaneous ICH ...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-014-9968-9

    authors: Madžar D,Kuramatsu JB,Gollwitzer S,Lücking H,Kloska SP,Hamer HM,Köhrmann M,Huttner HB

    更新日期:2014-10-01 00:00:00

  • Blood pressure regulation to prevent progression of blunt traumatic intracranial hemorrhage in stable patients.

    abstract:BACKGROUND:Target blood pressure (BP) in stable (non-hypotensive) patients with acute isolated blunt traumatic intracranial hemorrhage (TICH) is unknown. To address this issue, our study correlated BP with radiological volumetric progression (RP) and neurological deterioration (ND) in these patients. METHODS:A retrosp...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-014-9957-z

    authors: Bugaev N,Al-Hazmi M,Allcorn M,Arabian SS,Riesenburger R,Safain M,Burke S,Colangelo A,Rabinovici R

    更新日期:2014-08-01 00:00:00

  • Cervical syringohydromyelia secondary to chronic supratentorial subdural hematoma.

    abstract:INTRODUCTION:Syringohydromyelia associated with supratentorial space-occupying lesion has rarely been reported. We present a 28-year-old woman was admitted to the hospital with head and neck pain. Upon examination, there was only left central facial paralisia, with no evidence of papilledema. METHODS AND RESULTS:Crani...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1385/NCC:2:1:051

    authors: Türeyen K

    更新日期:2005-01-01 00:00:00

  • Electroencephalography in survivors of cardiac arrest: comparing pre- and post-therapeutic hypothermia eras.

    abstract::Electroencephalography in the setting of hypothermia and anoxia has been studied in humans since the 1950s. Specific patterns after cardiac arrest have been associated with prognosis since the 1960s, with several prognostic rating scales developed in the second half of the twentieth century. In 2002, two pivotal clini...

    journal_title:Neurocritical care

    pub_type: 杂志文章,评审

    doi:10.1007/s12028-014-0018-4

    authors: Crepeau AZ,Britton JW,Fugate JE,Rabinstein AA,Wijdicks EF

    更新日期:2015-02-01 00:00:00

  • Characteristics and Outcomes of Critically Ill Pediatric Patients with Posterior Reversible Encephalopathy Syndrome.

    abstract:BACKGROUND/OBJECTIVE:Posterior reversible encephalopathy syndrome (PRES) is a clinical and radiologic entity, typically manifesting as reversible neurological symptoms and signs of white matter edema on magnetic resonance imaging. PRES has been widely described in adults. Studies of PRES in children are mostly limited ...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-019-00720-9

    authors: Fisler G,Monty MA,Kohn N,Assaad P,Trope R,Kessel A

    更新日期:2020-02-01 00:00:00

  • Comparison of Three Point-of-Care Ultrasound Views and MRI Measurements for Optic Nerve Sheath Diameter: A Prospective Validity Study.

    abstract:INTRODUCTION:Point-of-care ultrasound of the optic nerve sheath diameter (ONSD) to diagnose increased intracranial pressure (ICP) is of great interest in various clinical scenarios. Yet, the lack of examination standardization has made clinical utility difficult. We compare three ultrasound ocular plane views (inferior...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-019-00881-7

    authors: Raval R,Shen J,Lau D,Ferguson N,Kelly T,Daniels J,Dorotta I,Ramsingh D

    更新日期:2020-08-01 00:00:00

  • Burst Suppression: Causes and Effects on Mortality in Critical Illness.

    abstract:BACKGROUND:Burst suppression in mechanically ventilated intensive care unit (ICU) patients is associated with increased mortality. However, the relative contributions of propofol use and critical illness itself to burst suppression; of burst suppression, propofol, and critical illness to mortality; and whether preventi...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-020-00932-4

    authors: Hogan J,Sun H,Aboul Nour H,Jing J,Tabaeizadeh M,Shoukat M,Javed F,Kassa S,Edhi MM,Bordbar E,Gallagher J,Junior VM,Ghanta M,Shao YP,Akeju O,Cole AJ,Rosenthal ES,Zafar S,Westover MB

    更新日期:2020-10-01 00:00:00

  • Acute lung injury in patients with severe brain injury: a double hit model.

    abstract::The presence of pulmonary dysfunction after brain injury is well recognized. Acute lung injury (ALI) occurs in 20% of patients with isolated brain injury and is associated with a poor outcome. The "blast injury" theory, which proposes combined "hydrostatic" and "high permeability" mechanisms for the formation of neuro...

    journal_title:Neurocritical care

    pub_type: 杂志文章,评审

    doi:10.1007/s12028-009-9242-8

    authors: Mascia L

    更新日期:2009-12-01 00:00:00

  • Early Mobilization in the Neuro-ICU: How Far Can We Go?

    abstract::Immobility that is frequently encountered in the intensive care unit (ICU) can lead to patient complications. Early mobilization of patients in the ICU has been shown to reduce the complications associated with critical illness; however, early mobilization in the neurological intensive care unit (NICU) presents a uniq...

    journal_title:Neurocritical care

    pub_type: 杂志文章,评审

    doi:10.1007/s12028-016-0338-7

    authors: Olkowski BF,Shah SO

    更新日期:2017-08-01 00:00:00

  • Collaborative Management Strategies for Drug Shortages in Neurocritical Care.

    abstract::Drug shortages have become all too familiar in the health care environment, with over 200 drugs currently on shortage. In the wake of Hurricane Maria in September 2017, hospitals across the USA had to quickly and creatively adjust medication preparation and administration techniques in light of decreased availability ...

    journal_title:Neurocritical care

    pub_type: 杂志文章,评审

    doi:10.1007/s12028-019-00730-7

    authors: Clark SL,Levasseur-Franklin K,Pajoumand M,Barra M,Armahizer M,Patel DV,Wyatt Chester K,Tully AP

    更新日期:2020-02-01 00:00:00

  • Pressures, flow, and brain oxygenation during plateau waves of intracranial pressure.

    abstract:BACKGROUND:Plateau waves are common in traumatic brain injury. They constitute abrupt increases of intracranial pressure (ICP) above 40 mmHg associated with a decrease in cerebral perfusion pressure (CPP). The aim of this study was to describe plateau waves characteristics with multimodal brain monitoring in head injur...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-013-9918-y

    authors: Dias C,Maia I,Cerejo A,Varsos G,Smielewski P,Paiva JA,Czosnyka M

    更新日期:2014-08-01 00:00:00

  • Multifocal and recurrent subarachnoid hemorrhage due to an herbal supplement containing natural coumarins.

    abstract:INTRODUCTION:Over-the-counter herbal and alternative medicines are classified as dietary supplements and, unlike drugs, are not rigorously regulated by the United States Food and Drug Administration. Their potential adverse effects are often poorly characterized. METHOD:Red clover, dong quai, and Siberian ginseng are ...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-007-0075-z

    authors: Friedman JA,Taylor SA,McDermott W,Alikhani P

    更新日期:2007-01-01 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

  • Heart Rate Variability Predicts Neurogenic Pulmonary Edema in Patients with Subarachnoid Hemorrhage.

    abstract:BACKGROUND:An alternation of sympathetic and vagal nervous activity has been suggested to be one possible mechanism of neurogenic pulmonary edema (NPE) in patients with subarachnoid hemorrhage (SAH). The study aimed to explore if sympathovagal modulation assessed by frequency domains of heart rate variability (HRV) is ...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-015-0237-3

    authors: Chen WL,Chang SH,Chen JH,Tai HC,Chan CM,Wang YC

    更新日期:2016-08-01 00:00:00