Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.12104/39831
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dc.contributor.authorChiquete, E.
dc.contributor.authorOchoa-Guzman, A.
dc.contributor.authorVargas-Sanchez, A.
dc.contributor.authorNavarro-Bonnet, J.
dc.contributor.authorAndrade-Ramos, M.A.
dc.contributor.authorGutierrez-Plascencia, P.
dc.contributor.authorRuiz-Sandoval, J.L.
dc.date.accessioned2015-09-15T17:26:42Z-
dc.date.available2015-09-15T17:26:42Z-
dc.date.issued2013
dc.identifier.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-84874902221&partnerID=40&md5=e32602b2fd48acd774e32e41f214ce18
dc.identifier.urihttp://hdl.handle.net/20.500.12104/39831-
dc.description.abstractIntroduction: The importance of the admission blood pressure (BP) for intracerebral hemorrhage (ICH) outcome is not completely clear. Our objective was to analyze the clinical impact of BP at hospital arrival in patients with primary ICH. Material and methods: We studied 316 patients (50% women, mean age: 64 years, 75% with hypertension history) with acute primary ICH. The first BP reading at admission was evaluated for its association with neuroimaging findings and outcome. A Cox proportional hazards model and Kaplan-Meier analyses were constructed to evaluate factors associated with in-hospital mortality. Results: Intraventricular irruption occurred in 52% of cases. A high frequency of third ventricle extension was observed in patients with BP readings in the upper quartiles of the distribution (systolic, diastolic, or mean arterial pressure). Blood pressure readings did not correlate with hematoma volumes. In-hospital case fatality rate was 46% (63% among those with ventricular irruption). Systolic BP (SBP) > 190 mm Hg was independently associated with in-hospital mortality in supratentorial (n = 285) ICH (hazard ratio: 1.19, 95% confidence interval: 1.02-1.38, for the highest vs. the lowest quartile) even after adjustment for known strong predictors (age, ICH volume, Glasgow coma scale and ventricular extension). Blood pressure was not significantly associated with ventricular extension or outcome in patients with infratentorial ICH. Conclusions: A high BP on admission is associated with an increased risk of intraventricular extension and early mortality in patients with supratentorial ICH. However, a significant proportion of patients with high BP readings without ventricular irruption still have an increased risk of death. � 2013 Termedia & Banach.
dc.relation.isreferencedbyScopus
dc.relation.isreferencedbyWOS
dc.titleBlood pressure at hospital admission and outcome after primary intracerebral hemorrhage
dc.typeArticle
dc.identifier.doi10.5114/aoms.2013.33346
dc.relation.ispartofjournalArchives of Medical Science
dc.relation.ispartofvolume9
dc.relation.ispartofissue1
dc.relation.ispartofpage34
dc.relation.ispartofpage39
dc.subject.keywordBlood pressure; Diastolic; Hematoma; Hypertension; Intracerebral hemorrhage; Outcome; Systolic
dc.contributor.affiliationChiquete, E., Neurology and Psychiatry Department, Instituto Nacional de Ciencias Medicas y Nutricion, Salvador Zubiran, Guadalajara, Mexico; Ochoa-Guzm�n, A., Department of Neurology, Hospital Civil de Guadalajara, Fray Antonio Alcalde, Guadalajara, Mexico; Vargas-S�nchez, �., Department of Neurology, Hospital Civil de Guadalajara, Fray Antonio Alcalde, Guadalajara, Mexico, Department of Internal Medicine, Hospital Civil de Guadalajara, Fray Antonio Alcalde, Guadalajara, Mexico; Navarro-Bonnet, J., Department of Neurology, Hospital Civil de Guadalajara, Fray Antonio Alcalde, Guadalajara, Mexico; Andrade-Ramos, M.A., Department of Neurology, Hospital Civil de Guadalajara, Fray Antonio Alcalde, Guadalajara, Mexico, Department of Internal Medicine, Hospital Civil de Guadalajara, Fray Antonio Alcalde, Guadalajara, Mexico; Guti�rrez-Plascencia, P., Department of Neurology, Hospital Civil de Guadalajara, Fray Antonio Alcalde, Guadalajara, Mexico; Ruiz-Sandoval, J.L., Department of Neurology, Hospital Civil de Guadalajara, Fray Antonio Alcalde, Guadalajara, Mexico, Department of Neurosciences, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Mexico
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