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Med Clin (Barc). 2014 Jan 7;142(1):1-6. doi: 10.1016/j.medcli.2013.03.017. Epub 2013 Jun 12.

[Trends in risk factors, clinical characteristics and prognosis in primary intracerebral haemorrhage (1986-2004)].

[Article in Spanish]

Author information

1
Unidad de Enfermedades Vasculares Cerebrales, Servicio de Neurología, Capio-Hospital Universitari del Sagrat Cor, Universitat de Barcelona, Barcelona, España. Electronic address: aarboix@hscor.com.
2
Unidad de Enfermedades Vasculares Cerebrales, Servicio de Neurología, Capio-Hospital Universitari del Sagrat Cor, Universitat de Barcelona, Barcelona, España.
3
Unidad de Organización y Sistema de Información, Hospital de la Santa Creu i Sant Pau, Barcelona, España.

Abstract

BACKGROUND AND OBJECTIVES:

Cardiovascular risk factors, clinical features and early outcome of first-ever primary intracerebral haemorrhage (PIH) from 1986 to 2004 using the Sagrat Cor Hospital of Barcelona Stroke Registry were assessed, and compared with data from patients with first-ever ischemic stroke.

PATIENTS AND METHODS:

The study population consisted of 380 patients with PIH and 2,082 patients with ischemic stroke. Secular trends for the periods 1986-1992, 1993-1998 and 1999-2004 were analyzed.

RESULTS:

Age increased significantly (P<.001) throughout the 3 study periods and there was a significant increase in the percentage of patients with atrial fibrillation, chronic obstructive pulmonary disease (COPD) and lobar topography. The use of brain magnetic resonance imaging (MRI) also increased significantly throughout the study periods. In comparison with ischemic stroke in-hospital death was more frequent (28,2 vs. 12%) and lacunar syndrome (9,5 vs. 31,4%) and symptom-free patients at discharge were less frequent in the intracerebral haemorrhage group (6,1 vs. 18,3%).

CONCLUSIONS:

Significant changes over a 19-year period included an increase in the patient's age, frequency of COPD and atrial fibrillation and use of MRI imaging studies. PIH is a severe subtype of stroke with a higher risk of early death and lower asymptomatic frequency at discharge than ischemic cerebral infarct.

KEYWORDS:

Epidemiology; Epidemiología; Factores de riesgo; Hemorragia intracerebral; Intracerebral haemorrhage; Registro de ictus; Risk factors; Secular trends; Stroke registry; Tendencias

PMID:
23768852
DOI:
10.1016/j.medcli.2013.03.017
[Indexed for MEDLINE]

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