Clinical factors of postoperative outcome in dementia combined with cerebral amyloid angiopathy- related intracerebral hemorrhage
10.3760/cma.j.jssn.1673-4904.2016.10.008
- VernacularTitle:痴呆合并脑血管淀粉样变性相关脑出血术前评估对手术疗效的影响
- Author:
Yuliang FAN
;
Bin WU
;
Chunlei ZHU
;
Yi ZHAO
- Publication Type:Journal Article
- Keywords:
Dementia;
Amyloidosis;
Cerebral hemorrhage;
Retrospective studies
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(10):886-889
- CountryChina
- Language:Chinese
-
Abstract:
Objective To examine the clinical factors associated with postoperative outcome in dementia combined with cerebral amyloid angiopathy-related intracerebral hemorrhage (CAA-ICH). Methods The clinical data of 25 surgical patients of dementia combined with CAA-ICH were retrospectively analyzed. The postoperative short-term effects and long-term effects were evaluated at the 30 d and 6 months after operation according to the modified Rankin score (MRS), and the influencing factors were analyzed. Results Among the 25 patients, eusemia was in 6 cases. Age ≥ 75 years, Glasgow coma score (GCS) ≤ 8 scores on admission, hypertension, postoperative anemia, pulmonary diseases, midline shift were the influencing factors of postoperative short-term effects (P < 0.05 or <0.01). Twenty-two patients were followed up for 6 months, and ensemia was in 9 cases. Age≥75 years, GCS ≤ 8 scores on admission, hypertension, postoperative anemia, hypoproteinemia and pulmonary diseases were the influencing factors of postoperative long-term effects (P<0.01 or<0.05). Conclusions Preoperative assessment is important for the patients of dementia combined with CAA-ICH. Age ≥ 75 years, GCS ≤ 8 socres on admission, hypertension, postoperative anemia, pulmonary diseases, midline shift are associated with poor short-term effects; age ≥ 75 years, GCS ≤ 8 scores on admission,hypertension, postoperative anemia, hypoproteinemia and pulmonary diseases are associated with poor long-term effects.
