The predictive value of tomographic variables for spontaneous supratentorial intraparenchymal hemorrhage

<p class="NoSpacing1"><strong>Background</strong>: cerebral hemorrhage is the most disabling and mortal condition of the cerebrovascular diseases.</p><p class="NoSpacing1"><strong>Objective</strong>: to identify the variables that have a...

Full description

Bibliographic Details
Main Authors: Alexander Sosa-Frías, Alexis Suárez-Quesada
Format: Article
Language:Spanish
Published: Universidad de Ciencias Médicas de Las Tunas 2019-09-01
Series:Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta
Subjects:
Online Access:http://revzoilomarinello.sld.cu/index.php/zmv/article/view/1921
_version_ 1818655507073728512
author Alexander Sosa-Frías
Alexis Suárez-Quesada
author_facet Alexander Sosa-Frías
Alexis Suárez-Quesada
author_sort Alexander Sosa-Frías
collection DOAJ
description <p class="NoSpacing1"><strong>Background</strong>: cerebral hemorrhage is the most disabling and mortal condition of the cerebrovascular diseases.</p><p class="NoSpacing1"><strong>Objective</strong>: to identify the variables that have a direct influence on the survival of patients with spontaneous intracerebral hemorrhage (spontaneous ICH) during the first 30 days at the “Carlos Manuel de Céspedes” Hospital of Bayamo, Granma, from January 2017 to October 2018.</p><p class="NoSpacing1"><strong>Methods</strong>: an analytic, retrospective cohort study was carried out with patients diagnosed with spontaneous intracerebral hemorrhage (spontaneous ICH) at the aforementioned institution and during the period declared in the objective. The study population included 208 patients. The research assessed: post-onset of the condition, age, sex, medical sate at 30 days, ventricular flooding, hematoma volume, lesion volume, displacement of the midline structure.</p><p class="NoSpacing1"><strong>Results</strong>: 114 patients survived, with an average age of 64,18±14,538, 56,6 % were male. The age of the deceased was 67,75±13,855, 43,4 % were male. The hematoma volume was 5,753±15,644 cm<sup>3</sup> in the living and 26,213±30,551 cm<sup>3</sup> in the deceased. (p=0,000). The risk of death increased 1,991 times for each unit with an increase of the hematoma volume over 25 cm<sup>3</sup>. The age under 65 years had a protecting effect. The risk to die at 30 days was reduced at 40,8 % per each year decreasing under 65.</p><p class="NoSpacing1"><strong>Conclusions</strong>: the hematoma volume had an influence on the prognosis of survival in the patients with spontaneous intracerebral hemorrhage (spontaneous ICH). The age under 65 years was a protecting factor.</p>
first_indexed 2024-12-17T03:10:47Z
format Article
id doaj.art-d517097ec8194de09cae181e141a265f
institution Directory Open Access Journal
issn 1029-3027
language Spanish
last_indexed 2024-12-17T03:10:47Z
publishDate 2019-09-01
publisher Universidad de Ciencias Médicas de Las Tunas
record_format Article
series Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta
spelling doaj.art-d517097ec8194de09cae181e141a265f2022-12-21T22:05:51ZspaUniversidad de Ciencias Médicas de Las TunasRevista Electrónica Dr. Zoilo E. Marinello Vidaurreta1029-30272019-09-01445926The predictive value of tomographic variables for spontaneous supratentorial intraparenchymal hemorrhageAlexander Sosa-Frías0Alexis Suárez-Quesada1Hospital General Docente “Carlos Manuel de Céspedes”, Bayamo, Granma. Universidad de Ciencias Médicas de Granma, Granma.Hospital General Docente “Carlos Manuel de Céspedes”, Bayamo, Granma.<p class="NoSpacing1"><strong>Background</strong>: cerebral hemorrhage is the most disabling and mortal condition of the cerebrovascular diseases.</p><p class="NoSpacing1"><strong>Objective</strong>: to identify the variables that have a direct influence on the survival of patients with spontaneous intracerebral hemorrhage (spontaneous ICH) during the first 30 days at the “Carlos Manuel de Céspedes” Hospital of Bayamo, Granma, from January 2017 to October 2018.</p><p class="NoSpacing1"><strong>Methods</strong>: an analytic, retrospective cohort study was carried out with patients diagnosed with spontaneous intracerebral hemorrhage (spontaneous ICH) at the aforementioned institution and during the period declared in the objective. The study population included 208 patients. The research assessed: post-onset of the condition, age, sex, medical sate at 30 days, ventricular flooding, hematoma volume, lesion volume, displacement of the midline structure.</p><p class="NoSpacing1"><strong>Results</strong>: 114 patients survived, with an average age of 64,18±14,538, 56,6 % were male. The age of the deceased was 67,75±13,855, 43,4 % were male. The hematoma volume was 5,753±15,644 cm<sup>3</sup> in the living and 26,213±30,551 cm<sup>3</sup> in the deceased. (p=0,000). The risk of death increased 1,991 times for each unit with an increase of the hematoma volume over 25 cm<sup>3</sup>. The age under 65 years had a protecting effect. The risk to die at 30 days was reduced at 40,8 % per each year decreasing under 65.</p><p class="NoSpacing1"><strong>Conclusions</strong>: the hematoma volume had an influence on the prognosis of survival in the patients with spontaneous intracerebral hemorrhage (spontaneous ICH). The age under 65 years was a protecting factor.</p>http://revzoilomarinello.sld.cu/index.php/zmv/article/view/1921cerebral hemorrhagesurvivaltomography
spellingShingle Alexander Sosa-Frías
Alexis Suárez-Quesada
The predictive value of tomographic variables for spontaneous supratentorial intraparenchymal hemorrhage
Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta
cerebral hemorrhage
survival
tomography
title The predictive value of tomographic variables for spontaneous supratentorial intraparenchymal hemorrhage
title_full The predictive value of tomographic variables for spontaneous supratentorial intraparenchymal hemorrhage
title_fullStr The predictive value of tomographic variables for spontaneous supratentorial intraparenchymal hemorrhage
title_full_unstemmed The predictive value of tomographic variables for spontaneous supratentorial intraparenchymal hemorrhage
title_short The predictive value of tomographic variables for spontaneous supratentorial intraparenchymal hemorrhage
title_sort predictive value of tomographic variables for spontaneous supratentorial intraparenchymal hemorrhage
topic cerebral hemorrhage
survival
tomography
url http://revzoilomarinello.sld.cu/index.php/zmv/article/view/1921
work_keys_str_mv AT alexandersosafrias thepredictivevalueoftomographicvariablesforspontaneoussupratentorialintraparenchymalhemorrhage
AT alexissuarezquesada thepredictivevalueoftomographicvariablesforspontaneoussupratentorialintraparenchymalhemorrhage
AT alexandersosafrias predictivevalueoftomographicvariablesforspontaneoussupratentorialintraparenchymalhemorrhage
AT alexissuarezquesada predictivevalueoftomographicvariablesforspontaneoussupratentorialintraparenchymalhemorrhage