Abstract:
PRIMARY OBJECTIVE:To define the prognostic value of head computed tomography (CT) in patients suffering from SICH after 3 years of follow-up. RESEARCH DESIGN AND METHODS:Between January 2011 and May 2012, consecutive patients with SICH who underwent brain CT scans within the first 12 hours of presentation were prospectively included. Independent predictors of 30-day mortality and unfavourable functional outcome (modified Rankin Scale = 4-6 and Barthel Index ≤ 60) at 36 months were identified by univariable and multivariable regression analysis. MAIN OUTCOMES AND RESULTS:A total of 228 participants were identified. According to multivariable analysis, independent CT-related predictors for 30-day mortality were intraventricular haemorrhage [IVH] (OR = 2.42; p = 0.009), haematoma volume ≥ 30 cm3 (OR = 3.32; p = 0.006), the presence of midline shift (OR = 3.77; p = 0.004) and hydrocephalus (OR = 5.22; p = 0.001). Further, IVH (OR = 3.72, 95% CI = 1.16-11.8, p = 0.026), volume of haemorrhage ≥ 30 cm3 (OR = 3.96; 95% CI = 1.65-5.84; p = 0.015) and midline shift (OR = 6.58; 95% CI = 1.33-32.4; p = 0.021) had significant associations with an mRS ≥ 4 at 36 months. CONCLUSIONS:A favourable long-term functional outcome at 36 months and short-term survival were less likely in patients with greater volume of haematoma, presence of IVH and midline displacement.
journal_name
Brain Injjournal_title
Brain injuryauthors
Asadollahi S,Vafaei A,Heidari Kdoi
10.1080/02699052.2016.1199909subject
Has Abstractpub_date
2016-01-01 00:00:00pages
1626-1634issue
13-14eissn
0269-9052issn
1362-301Xjournal_volume
30pub_type
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