If you are experiencing problems downloading PDF or HTML fulltext, our helpdesk recommend clearing your browser cache and trying again. If you need help in clearing your cache, please click here . Still need help? Email help@ingentaconnect.com

Testing the outcome score of spontaneous intracerebral haemorrhage in haemodialysis patients

$48.00 plus tax (Refund Policy)

Download / Buy Article:

Abstract:

Abstract

The aim of this study is to determine the predictive value of the spontaneous intracerebral haemorrhage (ICH) outcome score (which we described previously) in haemodialysis (HD) patients who develop spontaneous ICH. The validation cohort consisted of all HD patients with spontaneous ICH presenting to Chang Gung Memorial Hospital in Taiwan during 2005–2007. The data were collected from one hospital and prospectively analysed, and the predictive model was tested using an external validation dataset. The prognostic factors were confirmed by chi-squared testing. We calculated the 30-day mortality in different groups of the validation cohort divided according to outcome score and tested the predictive value of the outcome score. The overall mortality rate was 52.6% in 38 HD patients. The originally identified prognostic factors were Glasgow Coma Scale score, age ≥70 years, systolic blood pressure <130 or ≥200 mmHg, ICH volume ≥30 mL, presence of intraventricular haemorrhage and serum glucose ≥8.8 mmol/L. All but one (serum glucose ≥8.8 mmol/L (P= 0.07)) were subsequently found to be associated with 30-day mortality. In patients scoring 6 and 7, mortality was 100%, but in patients scoring 0, it was only 11.1%. The 30-day mortality in the validation cohort increased steadily with score and had good predictive value (correlation coefficient = 0.986, P < 0.001). Similar results in two different cohorts indicate that the ICH outcome score is a reliable outcome measure.

Keywords: end-stage renal disease; haemodialysis; intracranial haemorrhage; outcome

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1445-5994.2009.02015.x

Affiliations: 1: Neurosurgery and 2: Neurology, Chang Gung University and Chang Gung Memorial Hospital, Taoyuan, Taiwan 3: Department of Neurosurgery, Buddhist Tzu Chi General Hospital, Taichung and Departments of

Publication date: October 1, 2009

Related content

Tools

Favourites

Share Content

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more