Impact analysis of hypocalcemia on the prognosis on intracerebral hemorrhage
10.3760/cma.j.issn.0254-9026.2016.005.004
- VernacularTitle:低钙血症对脑出血预后的影响
- Author:
Heping SHEN
;
Genghuan WANG
;
Xiaoling ZHANG
;
Qiaobing GUAN
;
Liping ZHAI
;
Benyan LUO
- Publication Type:Journal Article
- Keywords:
Hypocalcemia;
Cerebral hemorrhage;
Prognosis
- From:
Chinese Journal of Geriatrics
2016;35(5):471-473
- CountryChina
- Language:Chinese
-
Abstract:
Objective To prospectively explore the impact of hypocalcemia on the prognostic value of intracerebral hemorrhage.Methods A total of 410 patients consecutively admitted within 12 hours after intracerebral hemorrhage onset were divided into 3 groups based on admission serum calcium:low serum calcium group,normal serum calcium group and high serum calcium group.Baseline characteristics of patients including age,gender,Glasgow coma score(GCS),hematoma volume,etc were collected and analyzed.A follow-up was performed after 6 months.Final outcome was assessed using Glasgow outcome scale(GOS)with a score＞3 regarded as favourable prognosis,a score≤3 as unfavourable prognosis.Results Patients with low serum calcium had lower GOS,bigger hematoma volume,higher rate of operation,higher re-bleeding rate,more unfavourable prognosis than did the other 2 serum calcium groups.Multivariable Logistic regression analysis showed that patients with low serum calcium had poorer prognosis than patients with normal serum calcium after adjusting for other potential confounders(Odds ratio:3.01,95％ confidence interval:1.06-6.12,P＜0.05).Conclusions Hypocalcemia is an independent risk factor for the prognosis of patients with intracerebral hemorrhage.
