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Risk factors for mental disorders in patients with hypertensive intracerebral hemorrhage following neurosurgical treatment.

Abstract：

BACKGROUND:Mental disorders are commonly observed among surgically treated patients with hypertensive intracerebral hemorrhage (HICH), leading to serious negative impacts on the patient's treatment, rehabilitation, and prognosis. The study aimed to establish the prevalence rates and risk factors for mental disorders following the surgical treatment of HICH. METHODS:This was a prospective study. Surgically treated patients with HICH were assessed 6 months following surgical treatment. The sociodemographic data were obtained from each subject, and clinical characteristics were collected for each patient from his or her hospital records. Mental disorder-related risk factors were examined using unpaired t-tests for continuous variables and χ(2) for categorical data, respectively, followed by multiple logistic regression analysis. RESULTS:A total of 96 patients were recruited for this study. The incidence of mental disorders following surgical treatment of HICH was 32.3%. Univariate analysis revealed that the occurrence of postoperative mental disorders was correlated with gender, income, social interaction, relationship between family members, hematoma localization, hematoma volume, preoperative Glasgow Coma Scale (GCS) score, surgical approach, Barthel Index, hospitalization time, and discharged patients' caregivers. Multivariate logistic regression analysis indicated that female patients, social barriers, surgical treatment with a craniotomy, and bad relationship between family members were the independent risk factors for mental disorders following surgical treatment of HICH. CONCLUSIONS:Postoperative mental disorders in patients with HICH were more likely to occur in female patients and patients who faced social barriers, those who were treated with a craniotomy, and those who experienced bad relationships between their family members. More attention and supports should be provided to this group of patients.

journal_name

J Neurol Sci

journal_title

Journal of the neurological sciences

authors

Li F,Chen QX

doi

10.1016/j.jns.2014.04.021

subject

Has Abstract

pub_date

2014-06-15 00:00:00

pages

128-32

issue

1-2

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(14)00242-1

journal_volume

341

pub_type

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Risk factors for mental disorders in patients with hypertensive intracerebral hemorrhage following neurosurgical treatment.