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Assessment of Short- and Long-Term Outcomes of Patients Hospitalized With Intracerebral Hemorrhage

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The aim of this study was to assess short- and long-term outcomes of patients hospitalized with intracerebral hemorrhage (ICH) in South Carolina. Patients with a primary diagnosis of ICH (ICD-9-CM code 431) discharged during 2002 were identified in the South Carolina hospital discharge database. Kaplan-Meier estimates of recurrent stroke, myocardial infarct, vascular death, all-cause death, and composite events were calculated at 1 month, 6 months, and 1, 2, 3, and 4 years. Age- and race-specific survival curves were plotted. A total of 893 patients were discharged during 2002. Most were Caucasian (CA) (61.4%), followed by African American (AA) (37.4%). The mean age of patients in the AA group was 12 years younger than that of the CA group; of those in the AA group, 63.8% were <65 years of age, and of those in the CA group, 27.4% were >65 years of age. Kaplan-Meier estimates of cumulative risk increased with time over the 4-year period after discharge, and the risk of all-cause death was high (∼40%-60%). Survival curves showed that the composite risk of recurrent stroke, myocardial infarct, or vascular death was higher for AA patients <65 years of age compared to similarly aged CA patients, whereas the risk was higher for CA patients >65 years of age compared to similar age AA patients. The racial disparity in short- and long-term outcomes for ICH patients <65 years of age in South Carolina highlights the need for improvements in stroke prevention, particularly among the AA population.

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Keywords: CAs; Caucasian; Cerebral hemorrhage; ICH; Intracerebral hemorrhage; MI; death; hyperlipidemia; hypertension; myocardial; myocardial infarction; outcome; racial disparity; recurrent stroke; south carolina; stroke belt

Document Type: Research Article

Publication date: February 1, 2012

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  • Current Neurovascular Research (CNR) provides a cross platform for the publication of scientifically rigorous research that addresses disease mechanisms of both neuronal and vascular origins in neuroscience. The journal serves as an international forum for the publication of novel and pioneering original work as well as timely neuroscience research reviews in the disciplines of cell developmental disorders, plasticity, and degeneration that bridge the gap between basic science research and clinical discovery. CNR emphasizes the elucidation of disease mechanisms, both cellular and molecular, which can impact the development of unique therapeutic strategies for neuronal and vascular disorders.
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