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ISSN 1684-1824 (Electronic)

2019, Number 1

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Rev Méd Electrón 2019; 41 (1)

Clinical characterization of the intracerebral hemorrhage in patients admitted in the Hospital Faustino Perez. 2012-2013

Méndez FL, Carmona DY, Moreno PLE, Escalona RCR, Ortega PJA

Language: Spanish
References: 18
Page: 90-103
PDF size: 763.98 Kb.


ABSTRACT

Introduction: cerebrovascular diseases are a health problem around the world, being the third cause of death, the first one of disability in adults, and the second cause of dementia in the world.
Objective: to characterize intracerebral hemorrhage in these patients in relation to age and sex, risk factors, lethality according to its location and hemorrhage extension.
Materials and methods: an observational, retrospective study was carried out in patients admitted in the Hospital Faustino Perez with intracerebral hemorrhage in 2012 and 2013. The universe of the study was 86 patients admitted due to intracerebral hemorrhage.
Results: male sex (54.65 %), 70-79-years-old age group (34.88 %) and black race (49.7 %) predominated. The most frequent risk factor was arterial hypertension (82.55 %), followed by diabetes mellitus (23.25 %). Lethality was higher in patients elder than 80 years old (41.66 %). According to location, the subcortical one was the most frequent (34.88 %), and the most lethal was the one of the brainstem (100 %). According for the extension, the pure intraparenchimatous one predominated (69.76 %), and the intraventricular one was the most lethal (55 %).
Conclusion: the intracerebral hemorrhage was more frequent in male sex, 70-79- years-old age group and black race. The most frequent risk factor was arterial hypertension; the most frequent location was the subcortical one, and the one with larger extension was the pure intraparenchimatous one. Lethality was higher in patients aged more than 80 years, located in the brainstem and with intraventricular extension.


REFERENCES

  1. Racca FR. Validación del modelo matemático predictivo de mortalidad para la hemorragia supratentorial espontánea [Internet]. Buenos Aires: Sociedad Iberoamericana de Información Científica; 2018 [citado 09/11/2017]. Disponible en: http://www.siicsalud.com/des/expertoimpreso.php/148592

  2. Morales CD, Aguirre C, Machado JE. Factores predictores para accidente cerebrovascular en el Hospital Universitario San Jorge Pereira (Colombia). Rev Científica Salud Uninorte [Internet]. 2016 [citado 09/11/2017];(32):1. Disponible en: http://rcientificas.uninorte.edu.co/index.php/salud/article/viewArticle/5050

  3. Alsina AE, Racca Velásquez F. Hemorragia supratentorial espontánea: un modelo matemático predictivo de mortalidad. Salud y Ciencia [Internet]. 2014 [citado 12/11/2017];20(4):368-72. Disponible en: https://www.siicsalud.com/dato/experto.php/148592

  4. Tsivgoulis G, Katsanos AH, Butcher KS, et al. Intensive blood pressure reduction in acute intracerebral hemorrhage: a meta-analysis. Neurology. 2015; 84(24):2464. Citado en PubMed: PMID: 26078404.

  5. Aguilera OR, González VD. Factores pronósticos en la hemorragia cerebral intraparenquimatosa. MEDISAN [Internet]. 2012 [citado 12/11/2017];16(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192012000100003

  6. Rozman C, Cardellach F. Medicina interna. 18ª ed. Barcelona: Elsevier; 2016.

  7. Suárez A, Álvarez A, López E, et al. Pronóstico de muerte en pacientes con hemorragia intracerebral supratentorial espontánea. Rev Finlay [Internet]. 2016 [citado 12/11/2017];6(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2221-24342016000100005

  8. Rodríguez PL, Hernández A. Rasgos diferenciales de la mortalidad hospitalaria por ictus isquémico y hemorrágico. Rev Cubana Neurol Neurocir [Internet]. 2014 [citado 12/11/2017];4(1):14–24. Disponible en: http://revneuro.sld.cu/index.php/neu/article/viewFile/115/pdf

  9. Vergara A, Rodríguez J, Barrós P, et al. Hemorragia intracerebral espontánea: características tomográficas y evolución. Finlay [Internet]. 2015 [citado 12/11/2017];5(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2221-24342015000400005

  10. Dirección Nacional de Estadística. Anuario Estadístico. La Habana. Cuba: Ministerio de Salud Pública; 2014.

  11. Goldman L, Schafer AI. Goldman-Cecil. Tratado de Medicina Interna [Internet]. 25.a ed. España: Elsevier [citado 12/11/2017];2017. Disponible en: https://inspectioncopy.elsevier.com/6/es/book/details/9788491130338

  12. Kaskar O, Goldstein L, James M. Validation of the ICH score and Predicting ICH outcomes in the Modern Neurological intensive Care Unit. Neurology [Internet]. 2015 [citado 12/11/2017];84(14). Disponible en: http://n.neurology.org/content/84/14_Supplement/P3.091

  13. Patel AD, Tan MK, Angaran P, et al. Risk Stratification and Stroke Prevention Therapy Care Gaps in Canadian Atrial Fibrillation Patients (from the Coordinated National Network to Engage Physicians in the Care and Treatment of Patients With Atrial Fibrillation Chart Audit). Am J Cardiol. 2015;115(5). Citado en PubMed; PMID: 2572083.

  14. Curtze S, Strbian D, Meretoja A.Higher baseline international normalized ratio value correlates with higher mortality in intracerebral hemorrhage during warfarin use. Eur J Neurol. 2014;21(4):616-22. Citado en PubMed; PMID: 24447727.

  15. López JL, Rodríguez AB, Sosa LM, et al. Factores relacionados con la mortalidad y las discapacidades en la hemorragia cerebral parenquimatosa espontánea. Rev Cubana Neurol Neurocir [Internet]. 2015 [citado 12/11/2017];5(1). Disponible en: http://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=55406

  16. González A, Gómez N, Álvarez R. Hemorragia intracerebral. Estudio de 349 autopsias en el Hospital Clinicoquirúrgico "Hermanos Amejeiras". Rev Cubana Med [Internet]. 2007 [citado 13/07/2011];46(2)1-7. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 75232007000200002&lng=es

  17. Kasper DL, Fishman RA, Dunlop RG, et al. Harrison's principles of Internal Medicine. 19th ed. [Internet]. España: Elsevier; 2015 [citado 13/07/2011]. Disponible en: https://inspectioncopy.elsevier.com/6/es/book/details/9788491130338

  18. Pérez AR, García A, Acosta ED, et al. Factores pronósticos de mortalidad por hemorragia intracerebral en el periodo agudo. Rev Cub Med Mil [Internet]. 2015 [citado 13/07/2011];44(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572015000300002




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