Analysis on the Influencing Factors for Prognosis of Intracerebral Hemorrhage in Extremely Elder Patients_West China Medical Journal

Authors：

 HanHui , ZhaoXiaoyan

Neural Comprehesive Ward, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

Keywords：

Extremely elder patients; Intracerebral hemorrhage; Prognosis

DOI：

10.7507/1002-0179.20160003

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Objective To explore the influencing factors for the prognosis of intracerebral hemorrhage in extremely old patients. Methods We retrospectively analyzed the clinical data of 104 extremely old intracerebral hemorrhage patients (≥80 years old) treated between June 2010 and June 2013. According to Glass Outcome Score, the patients were divided into good outcome group (with a score of 4-5) and poor outcome group (with a score of 1-3). The age, gender, consciousness on admission, mean arterial pressure, systolic blood pressure on admission, and complication rate were analyzed and compared between the two groups of patients. Results A total of 104 patients were recruited in our study, with 62 in the good outcome group and 42 in the poor outcome group. The gender, age, average arterial pressure on admission between the two groups were not significantly different (P>0.05). The consciousness score at admission in the good outcome group (13.79±2.38) was significantly higher than that of the poor outcome group (8.24±3.80, P<0.05). The complication rate (45.2% vs. 88.1%) and systolic blood pressure on admission [(168.87±25.03) vs. (181.83±29.82) mm Hg (1 mm Hg=0.133 kPa] in the good outcome group were both significantly lower than those in the poor outcome group (P<0.05). Conclusion For extremely old intracerebral hemorrhage patients, consciousness score and systolic blood pressure at admission, and complication rate are the influencing factors for the prognosis. In addition, a systolic pressure on admission above 180 mm Hg can be a risk factor for poor prognosis in extremely old patients.

Citation： HanHui, ZhaoXiaoyan. Analysis on the Influencing Factors for Prognosis of Intracerebral Hemorrhage in Extremely Elder Patients. West China Medical Journal, 2016, 31(1): 10-12. doi: 10.7507/1002-0179.20160003 Copy

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1. 馬爽, 張碩, 趙冬雪, 等. 院內成人自發性腦出血患者短期存活影響因素分析[J]. 中國卒中雜志, 2012, 7(5):382-387.
2. Kinsella K, Velkoff VA. The demographics of aging[J]. Aging Clin Exp Res, 2002, 14(3):159-169.
3. 尹建明. 高血壓腦出血患者的預后研究[J]. 中國實用醫藥, 2011, 6(27):95-96.
4. 錢佳棟, 萬默各, 徐德明, 等. 高血壓性腦出血預后影響因素Logistic回歸分析[J]. 浙江預防醫學, 2011, 23(11):30-31.
5. Steiner T, Diringer MN, Schneider D, et al. Dynamics of intraventricular hemorrhage in patients with spontaneous intracerebral hemorrhage:risk factors, clinical impact, and effect of hemostatic therapy with recombinant activated factor Ⅶ[J]. Neurosurgery, 2006, 59(4):767-774.
6. 中華醫學會神經科學會. 各類腦血管疾病診斷要點[J]. 臨床薈萃, 1988, 29(8):367-368.
7. 孫艷杰, 王海英, 王越男, 等. 立體定向術治療高血壓腦出血致死因素分析及護理對策[J]. 中華護理雜志, 2003, 38(6):441-443.
8. Rasmussen D, K?hler O, Worm-Petersen S, et al. Computed tomography in prognostic stroke evaluation[J]. Stroke, 1992, 23(4):506-510.
9. 馮江, 孫祥冬. 老年高血壓腦出血手術治療預后的影響因素分析[J]. 生物醫學工程學進展, 2010, 31(4):220-222.
10. Henon H, Godef R, Leys D, et al. Early predict ors of death and disability after acute cerebral ischemic event[J]. Stroke, 1995, 26(3):392-398.
11. Saloheimo P, Ah OM, Ju VS, et al. Regular aspirin-use preceding the onset of primaryint racerebral hemorrhage is an independent predictor for death[J]. Stroke, 2006, 37(1):129-133.
12. 王忠誠. 神經外科學[M]. 武漢:湖北科學技術出版社, 1998:686-689.
13. 段國升. 手術學全集[M]. 北京:人民軍醫出版社, 1994:303-314.
14. 趙繼宗, 周定標, 周良輔, 等. 2464例高血壓腦出血外科治療多中心單盲研究[J]. 中華醫學雜志, 2005, 85(32):2238-2242.
15. 劉運海, 奉俊敏, 楊期東, 等. 高血壓性腦出血住院患者的近期預后影響因素回顧性分析[J]. 卒中與神經疾病, 2004, 11(6):364-367.
16. 徐將榮. 急性腦出血術后合并醫院獲得性肺炎危險因素及預后分析[J]. 中華醫院感染學雜志, 2011, 21(24):5183-5185.
17. Ahmed R, Shakir AH, Moizu DS, et al. Predict ors of in-hospital mortality for intracerebral hemorrhage:a hospital based study in Pakis tani adults[J]. Stroke Cerebrovasc Dis, 2001, 10(3):122-127.

West China Medical Journal

Analysis on the Influencing Factors for Prognosis of Intracerebral Hemorrhage in Extremely Elder Patients

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