The predictors and clinical impact of intraventricular hemorrhage in patients with aneurysmal subarachnoid hemorrhage
The predictors and clinical impact of intraventricular hemorrhage in patients with aneurysmal subarachnoid hemorrhage
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DOI：
10.1177/1747493015607518
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发表时间：
2016-01-01
影响因子：
6.7
通讯作者：
Van Velthoven, Vera
中科院分区：
文献类型：
--
作者：
Jabbarli, Ramazan;Reinhard, Matthias;Van Velthoven, Vera
背景：众所周知，脑室内出血会使动脉瘤性蛛网膜下腔出血的病程和结果变得复杂。目的：确定动脉瘤破裂期间脑室内出血发生及其严重程度的独立危险因素。方法：纳入 2005 年 1 月至 2012 年 12 月期间在我们机构接受治疗的 625 名蛛网膜下腔出血患者。根据原始Graeb评分评估脑室内出血的严重程度。出血事件时患者的临床和放射学特征被测试为脑室内出血的潜在危险因素。脑室内出血的特征与临床病程和结果相关。 结果：206 名患者 (33%) 存在脑室内出血，并通过患者年龄（p = 0.001，比值比 (OR) = 1.02/年龄增加年数）、动脉瘤大小（p = 0.031，OR = 1.05/mm 增加）和位置（p = 0.001，OR = 1.05/mm 增加）独立预测。
Background: Intraventricular hemorrhage is known to complicate the course and outcome of aneurysmal subarachnoid hemorrhage.Aims: To identify independent risk factors for intraventricular hemorrhage development and its severity during aneurysm rupture.Methods: Six hundred and twenty-five subarachnoid hemorrhage patients treated at our institution between January 2005 and December 2012 were included. The severity of intraventricular hemorrhage was assessed according to the original Graeb score. Clinical and radiographic features of patients present at the bleeding event were tested as potential risk factors for intraventricular hemorrhage. The characteristics of intraventricular hemorrhage were correlated with the clinical course and outcome.Results: Intraventricular hemorrhage was present in 206 patients (33%) and was independently predicted by patient's age (p = 0.001, odds ratio (OR) = 1.02/year of age increase), aneurysm size (p = 0.031, OR = 1.05/mm increase), and location (p