1.The role of perilesional edema on the outcome of hypertensive intracerebral hemorrhage.
Emmylou Jane C BAYLOSIS ; Ma Daisy P TABUENA ; Irwin D DULOS ; Rollin P TABUENA
Philippine Journal of Internal Medicine 2008;46(1):1-6
BACKGROUND: Intracerebral hemorrhage (ICH) is more than twice as common as subarachnoid hemorrhage (SAH) and is more likely to result in death or major disability than cerebral infarction or SAH; having an advance age and hypertension are the most important risk factors for ICH. ICH occurs more frequently among men than women and is significantly more common among young and middle-aged blacks than whites of similar ages. Though this is the current scenario, Asian's ICH incidence is reported higher than those reported for whites in the United States and Europe.
OBJECTIVES AND METHODOLOGY: This prospective observational study of 74 hypertensive intracerebral hemorrhage' patients admitted at Iloilo Mission Hospital (IMH) for the period of January 1, 2006 to October 31, 2006, aimed at determining the relationship of perilesional edema's role on the outcome of hypertensive patients with intracerebral hemorrhage. Also it seeks to determine the difference in the perlesional edema volume and the Glasgow Coma Scale (GCS) score of patients at the emergency room (ER) when grouped according to location of hemorrhage in the brain; to determine the difference in the edema volume when they are grouped according to deterioration and medical outcome; and to determine the degree of relationship between edema volume and GCS scores as well as edema volume and ICH volume. Environmental factors, variables such as age, sex, compliance to antihypertensive medications, hours of deterioration, and medical and surgical intervention done were also included. T-test for independent samples, one way ANOVA, Pearson's are the statistical tools employed to interpret the present date.
RESULTS: For the differences in edema size and ER GCS Scores, the results showed no significant difference in the edema size and the QCS score of patients at the ER when they are grouped according to location of bleeding. The table shows that the fewer patients who has bleeding on deep location have acceptable to good GCS score (
Human
;
Intracranial Hemorrhage
;
Perilesional Edema
;
Subarachnoid Hemorrhage
Result Analysis
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