Open AccessClinical Characteristics, Management, and Functional Outcomes in Chinese Patients Within the First Year After Intracerebral Hemorrhage: Analysis from China National Stroke Registry
Author(s) -
Wang WenJuan,
Lu JingJing,
Wang YongJun,
Wang ChunXue,
Wang YiLong,
Hoff Kolin,
Yang ZhongHua,
Liu LiPing,
Wang AnXin,
Zhao XingQuan
Publication year - 2012
Publication title -
cns neuroscience and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.403
H-Index - 69
eISSN - 1755-5949
pISSN - 1755-5930
DOI - 10.1111/j.1755-5949.2012.00367.x
Subject(s) - medicine , intracerebral hemorrhage , stroke (engine) , glasgow coma scale , intensive care unit , neurology , logistic regression , emergency medicine , cohort study , prospective cohort study , intensive care medicine , surgery , mechanical engineering , psychiatry , engineering
Summary Aims The aim of this study was to understand the association between clinical characteristics, medical management, and functional outcomes in Chinese patients with nontraumatic intracerebral hemorrhage ( ICH ). Methods The China National Stroke Registry ( CNSR ) was a prospective cohort study that included 132 Chinese hospitals. Logistic regression was used to determine the risk factors associated with poor outcomes at 3, 6, and 12 months, post‐ ICH onset. Results Three thousand two hundred fifty five ICH patients with follow‐up information up to 1 year post‐ ICH were included in this study. 49.1%, 47.1%, and 46.0% of ICH patients had poor outcomes at 3, 6, and 12 months, respectively. Age, admission systolic blood pressure, admission Glasgow Coma Score, hematoma volume, withdrawal of support, and complication of gastrointestinal hemorrhage were associated with poor outcomes at 3 and 12 months. Stroke unit care was associated with good outcome at 3 months. Intensive care unit ( ICU )/Neurology ICU care was associated with poor outcome at 3 months. Conclusion This is the first report of long‐term functional outcomes in ICH patients from mainland China. Our study elucidates the risk factors that may influence functional outcomes post‐ ICH and therefore facilitate the development of management strategies to improve ICH care in China.