schliessen

Filtern

 

Bibliotheken

Practice Patterns for Neurosurgical Utilization and Outcome in Acute Intracerebral Hemorrhage: Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trials 1 and 2 Studies

Abstract BACKGROUND The prognosis in acute spontaneous intracerebral hemorrhage (ICH) is related to hematoma volume, where >30 mL is commonly used to define large ICH as a threshold for neurosurgical decompression but without clear supporting evidence. OBJECTIVES To determine the factors associated... Full description

Journal Title: Neurosurgery 2017-12-01, Vol.81 (6), p.980-985
Main Author: Guo, Rui
Other Authors: Blacker, David J , Wang, Xia , Arima, Hisatomi , Lavados, Pablo M , Lindley, Richard I , Chalmers, John , Anderson, Craig S , Robinson, Thompson
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: United States: Oxford University Press
ID: ISSN: 0148-396X
Link: https://www.ncbi.nlm.nih.gov/pubmed/28605557
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: cdi_proquest_miscellaneous_1909207425
title: Practice Patterns for Neurosurgical Utilization and Outcome in Acute Intracerebral Hemorrhage: Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trials 1 and 2 Studies
format: Article
creator:
  • Guo, Rui
  • Blacker, David J
  • Wang, Xia
  • Arima, Hisatomi
  • Lavados, Pablo M
  • Lindley, Richard I
  • Chalmers, John
  • Anderson, Craig S
  • Robinson, Thompson
subjects:
  • Aged
  • Antihypertensive Agents - therapeutic use
  • Blood pressure
  • Cerebral Hemorrhage - etiology
  • Cerebral Hemorrhage - surgery
  • China
  • Decompression, Surgical - utilization
  • Female
  • Hemorrhage
  • Humans
  • Hypertension - complications
  • Hypertension - drug therapy
  • Logistic Models
  • Middle Aged
  • Neurosurgery
  • Prognosis
ispartof: Neurosurgery, 2017-12-01, Vol.81 (6), p.980-985
description: Abstract BACKGROUND The prognosis in acute spontaneous intracerebral hemorrhage (ICH) is related to hematoma volume, where >30 mL is commonly used to define large ICH as a threshold for neurosurgical decompression but without clear supporting evidence. OBJECTIVES To determine the factors associated with large ICH and neurosurgical intervention among participants of the Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trials (INTERACT). METHODS We performed pooled analysis of the pilot INTERACT1 (n = 404) and main INTERACT2 (n = 2839) studies of ICH patients (30 mL), which was associated with nonresiding in China, nondiabetic status, severe neurological deficit (National Institutes of Health stroke scale [NIHSS] score ≥ 15), lobar location, intraventricular hemorrhage extension, raised leucocyte count, and hyponatremia. Significant predictors of those patients who underwent surgery (226 of 3233 patients overall; 83 of 372 patients with large ICH) were younger age, severe neurological deficit (lower Glasgow coma scale score, and NIHSS score ≥ 15), baseline ICH volume > 30 mL, and intraventricular hemorrhage. CONCLUSIONS Early identification of severe ICH, based on age and clinical and imaging parameters, may facilitate neurosurgery and intensive monitoring of patients.
language: eng
source:
identifier: ISSN: 0148-396X
fulltext: no_fulltext
issn:
  • 0148-396X
  • 1524-4040
url: Link


@attributes
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
RANK2.5342054
LOCALfalse
PrimoNMBib
record
control
sourceidproquest_cross
recordidTN_cdi_proquest_miscellaneous_1909207425
sourceformatXML
sourcesystemPC
oup_id10.1093/neuros/nyx129
sourcerecordid1909207425
originalsourceidFETCH-LOGICAL-14471-cc59657f3df1ac429305d25cece34fa1d5c684f387ff82e1d917ead25034bb910
addsrcrecordideNqFkU9vFCEYh4nR2HX16NWQePEyFhiYGbzVjdomjd1om3ibsMw7XSozbPljrd_L7yedqY2pMZIQAjzvwxt-CD2n5DUlstwfIXkX9sfr75TJB2hBBeMFJ5w8RAtCeVOUsvqyh56EcEEIrXjdPEZ7rKmIEKJeoJ9rr3Q0GvBaxQh-DLh3Hn-crMmfG60sPovGmh8qGjdiNXb4JEXtBsBmxAc6RcBHY8wa8LDxGT-EwXm_Vefw5uYGxmC-AX5rnevw2kPIXsCfoEt6Mt5ZVn8L8Kk3ygZMp3cZ_hxTZyA8RY_6fAzPbtclOnv_7nR1WByffDhaHRwXlPOaFloLWYm6L7ueKs2ZLInomNCgoeS9op3QVcP7sqn7vmFAO0lrUJkgJd9sJCVL9Gr27ry7TBBiO5igwVo1gkuhpZJIRmqeK5bo5T30wiU_5u4y1Qgp6maiipnS-XuDh77deTMof91S0t7k2c55tnOemX9xa02bAbo7-neAGSjvCbWJU1I5EWP_qeVz1ZWzOfTw1aYr8O0WlI3bluRRUVYWjNCasrwr8qR_fIdLu_80_gv4n9DH
sourcetypeAggregation Database
isCDItrue
recordtypearticle
pqid1985957825
display
typearticle
titlePractice Patterns for Neurosurgical Utilization and Outcome in Acute Intracerebral Hemorrhage: Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trials 1 and 2 Studies
creatorGuo, Rui ; Blacker, David J ; Wang, Xia ; Arima, Hisatomi ; Lavados, Pablo M ; Lindley, Richard I ; Chalmers, John ; Anderson, Craig S ; Robinson, Thompson
creatorcontribGuo, Rui ; Blacker, David J ; Wang, Xia ; Arima, Hisatomi ; Lavados, Pablo M ; Lindley, Richard I ; Chalmers, John ; Anderson, Craig S ; Robinson, Thompson ; INTERACT Investigators
descriptionAbstract BACKGROUND The prognosis in acute spontaneous intracerebral hemorrhage (ICH) is related to hematoma volume, where >30 mL is commonly used to define large ICH as a threshold for neurosurgical decompression but without clear supporting evidence. OBJECTIVES To determine the factors associated with large ICH and neurosurgical intervention among participants of the Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trials (INTERACT). METHODS We performed pooled analysis of the pilot INTERACT1 (n = 404) and main INTERACT2 (n = 2839) studies of ICH patients (<6 h of onset) with elevated systolic blood pressure (SBP, 150-220 mm Hg) who were randomized to intensive (target SBP < 140 mm Hg) or contemporaneous guideline-recommended (target SBP < 180 mm Hg) management. Neurosurgical intervention data were collected at 7 d postrandomization. Multivariable logistic regression was used to determine associations. RESULTS There were 372 (13%) patients with large ICH volume (>30 mL), which was associated with nonresiding in China, nondiabetic status, severe neurological deficit (National Institutes of Health stroke scale [NIHSS] score ≥ 15), lobar location, intraventricular hemorrhage extension, raised leucocyte count, and hyponatremia. Significant predictors of those patients who underwent surgery (226 of 3233 patients overall; 83 of 372 patients with large ICH) were younger age, severe neurological deficit (lower Glasgow coma scale score, and NIHSS score ≥ 15), baseline ICH volume > 30 mL, and intraventricular hemorrhage. CONCLUSIONS Early identification of severe ICH, based on age and clinical and imaging parameters, may facilitate neurosurgery and intensive monitoring of patients.
identifier
0ISSN: 0148-396X
1EISSN: 1524-4040
2DOI: 10.1093/neuros/nyx129
3PMID: 28605557
languageeng
publisherUnited States: Oxford University Press
subjectAged ; Antihypertensive Agents - therapeutic use ; Blood pressure ; Cerebral Hemorrhage - etiology ; Cerebral Hemorrhage - surgery ; China ; Decompression, Surgical - utilization ; Female ; Hemorrhage ; Humans ; Hypertension - complications ; Hypertension - drug therapy ; Logistic Models ; Middle Aged ; Neurosurgery ; Prognosis
ispartofNeurosurgery, 2017-12-01, Vol.81 (6), p.980-985
rights
0Copyright © 2017 by the Congress of Neurological Surgeons 2017
1Copyright © by the Congress of Neurological Surgeons
2Copyright © 2017 by the Congress of Neurological Surgeons
3Copyright © 2017 Congress of Neurological Surgeons
lds50peer_reviewed
oafree_for_read
citedbyFETCH-LOGICAL-14471-cc59657f3df1ac429305d25cece34fa1d5c684f387ff82e1d917ead25034bb910
citesFETCH-LOGICAL-14471-cc59657f3df1ac429305d25cece34fa1d5c684f387ff82e1d917ead25034bb910
links
openurl$$Topenurl_article
thumbnail$$Usyndetics_thumb_exl
backlink$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28605557$$D View this record in MEDLINE/PubMed
search
creatorcontrib
0Guo, Rui
1Blacker, David J
2Wang, Xia
3Arima, Hisatomi
4Lavados, Pablo M
5Lindley, Richard I
6Chalmers, John
7Anderson, Craig S
8Robinson, Thompson
9INTERACT Investigators
title
0Practice Patterns for Neurosurgical Utilization and Outcome in Acute Intracerebral Hemorrhage: Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trials 1 and 2 Studies
1Neurosurgery
addtitleNeurosurgery
descriptionAbstract BACKGROUND The prognosis in acute spontaneous intracerebral hemorrhage (ICH) is related to hematoma volume, where >30 mL is commonly used to define large ICH as a threshold for neurosurgical decompression but without clear supporting evidence. OBJECTIVES To determine the factors associated with large ICH and neurosurgical intervention among participants of the Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trials (INTERACT). METHODS We performed pooled analysis of the pilot INTERACT1 (n = 404) and main INTERACT2 (n = 2839) studies of ICH patients (<6 h of onset) with elevated systolic blood pressure (SBP, 150-220 mm Hg) who were randomized to intensive (target SBP < 140 mm Hg) or contemporaneous guideline-recommended (target SBP < 180 mm Hg) management. Neurosurgical intervention data were collected at 7 d postrandomization. Multivariable logistic regression was used to determine associations. RESULTS There were 372 (13%) patients with large ICH volume (>30 mL), which was associated with nonresiding in China, nondiabetic status, severe neurological deficit (National Institutes of Health stroke scale [NIHSS] score ≥ 15), lobar location, intraventricular hemorrhage extension, raised leucocyte count, and hyponatremia. Significant predictors of those patients who underwent surgery (226 of 3233 patients overall; 83 of 372 patients with large ICH) were younger age, severe neurological deficit (lower Glasgow coma scale score, and NIHSS score ≥ 15), baseline ICH volume > 30 mL, and intraventricular hemorrhage. CONCLUSIONS Early identification of severe ICH, based on age and clinical and imaging parameters, may facilitate neurosurgery and intensive monitoring of patients.
subject
0Aged
1Antihypertensive Agents - therapeutic use
2Blood pressure
3Cerebral Hemorrhage - etiology
4Cerebral Hemorrhage - surgery
5China
6Decompression, Surgical - utilization
7Female
8Hemorrhage
9Humans
10Hypertension - complications
11Hypertension - drug therapy
12Logistic Models
13Middle Aged
14Neurosurgery
15Prognosis
issn
00148-396X
11524-4040
fulltextfalse
rsrctypearticle
creationdate2017
recordtypearticle
recordideNqFkU9vFCEYh4nR2HX16NWQePEyFhiYGbzVjdomjd1om3ibsMw7XSozbPljrd_L7yedqY2pMZIQAjzvwxt-CD2n5DUlstwfIXkX9sfr75TJB2hBBeMFJ5w8RAtCeVOUsvqyh56EcEEIrXjdPEZ7rKmIEKJeoJ9rr3Q0GvBaxQh-DLh3Hn-crMmfG60sPovGmh8qGjdiNXb4JEXtBsBmxAc6RcBHY8wa8LDxGT-EwXm_Vefw5uYGxmC-AX5rnevw2kPIXsCfoEt6Mt5ZVn8L8Kk3ygZMp3cZ_hxTZyA8RY_6fAzPbtclOnv_7nR1WByffDhaHRwXlPOaFloLWYm6L7ueKs2ZLInomNCgoeS9op3QVcP7sqn7vmFAO0lrUJkgJd9sJCVL9Gr27ry7TBBiO5igwVo1gkuhpZJIRmqeK5bo5T30wiU_5u4y1Qgp6maiipnS-XuDh77deTMof91S0t7k2c55tnOemX9xa02bAbo7-neAGSjvCbWJU1I5EWP_qeVz1ZWzOfTw1aYr8O0WlI3bluRRUVYWjNCasrwr8qR_fIdLu_80_gv4n9DH
startdate20171201
enddate20171201
creator
0Guo, Rui
1Blacker, David J
2Wang, Xia
3Arima, Hisatomi
4Lavados, Pablo M
5Lindley, Richard I
6Chalmers, John
7Anderson, Craig S
8Robinson, Thompson
general
0Oxford University Press
1Copyright by the Congress of Neurological Surgeons
scope
0CGR
1CUY
2CVF
3ECM
4EIF
5NPM
6AAYXX
7CITATION
83V.
97X7
107XB
1188E
128FI
138FJ
148FK
15ABUWG
16BENPR
17FYUFA
18GHDGH
19K9.
20M0S
21M1P
22PQEST
23PQQKQ
24PQUKI
25PRINS
267X8
sort
creationdate20171201
titlePractice Patterns for Neurosurgical Utilization and Outcome in Acute Intracerebral Hemorrhage: Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trials 1 and 2 Studies
authorGuo, Rui ; Blacker, David J ; Wang, Xia ; Arima, Hisatomi ; Lavados, Pablo M ; Lindley, Richard I ; Chalmers, John ; Anderson, Craig S ; Robinson, Thompson
facets
frbrtype5
frbrgroupidcdi_FETCH-LOGICAL-14471-cc59657f3df1ac429305d25cece34fa1d5c684f387ff82e1d917ead25034bb910
rsrctypearticles
prefilterarticles
languageeng
creationdate2017
topic
0Aged
1Antihypertensive Agents - therapeutic use
2Blood pressure
3Cerebral Hemorrhage - etiology
4Cerebral Hemorrhage - surgery
5China
6Decompression, Surgical - utilization
7Female
8Hemorrhage
9Humans
10Hypertension - complications
11Hypertension - drug therapy
12Logistic Models
13Middle Aged
14Neurosurgery
15Prognosis
toplevelpeer_reviewed
creatorcontrib
0Guo, Rui
1Blacker, David J
2Wang, Xia
3Arima, Hisatomi
4Lavados, Pablo M
5Lindley, Richard I
6Chalmers, John
7Anderson, Craig S
8Robinson, Thompson
9INTERACT Investigators
collection
0Medline
1MEDLINE
2MEDLINE (Ovid)
3MEDLINE
4MEDLINE
5PubMed
6CrossRef
7ProQuest Central (Corporate)
8Health & Medical Collection
9ProQuest Central (purchase pre-March 2016)
10Medical Database (Alumni Edition)
11Hospital Premium Collection
12Hospital Premium Collection (Alumni Edition)
13ProQuest Central (Alumni) (purchase pre-March 2016)
14ProQuest Central (Alumni Edition)
15ProQuest Central
16Health Research Premium Collection
17Health Research Premium Collection (Alumni)
18ProQuest Health & Medical Complete (Alumni)
19Health & Medical Collection (Alumni Edition)
20Medical Database
21ProQuest One Academic Eastern Edition
22ProQuest One Academic
23ProQuest One Academic UKI Edition
24ProQuest Central China
25MEDLINE - Academic
jtitleNeurosurgery
delivery
delcategoryRemote Search Resource
fulltextno_fulltext
addata
au
0Guo, Rui
1Blacker, David J
2Wang, Xia
3Arima, Hisatomi
4Lavados, Pablo M
5Lindley, Richard I
6Chalmers, John
7Anderson, Craig S
8Robinson, Thompson
aucorpINTERACT Investigators
formatjournal
genrearticle
ristypeJOUR
atitlePractice Patterns for Neurosurgical Utilization and Outcome in Acute Intracerebral Hemorrhage: Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trials 1 and 2 Studies
jtitleNeurosurgery
addtitleNeurosurgery
date2017-12-01
risdate2017
volume81
issue6
spage980
epage985
pages980-985
issn0148-396X
eissn1524-4040
abstractAbstract BACKGROUND The prognosis in acute spontaneous intracerebral hemorrhage (ICH) is related to hematoma volume, where >30 mL is commonly used to define large ICH as a threshold for neurosurgical decompression but without clear supporting evidence. OBJECTIVES To determine the factors associated with large ICH and neurosurgical intervention among participants of the Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trials (INTERACT). METHODS We performed pooled analysis of the pilot INTERACT1 (n = 404) and main INTERACT2 (n = 2839) studies of ICH patients (<6 h of onset) with elevated systolic blood pressure (SBP, 150-220 mm Hg) who were randomized to intensive (target SBP < 140 mm Hg) or contemporaneous guideline-recommended (target SBP < 180 mm Hg) management. Neurosurgical intervention data were collected at 7 d postrandomization. Multivariable logistic regression was used to determine associations. RESULTS There were 372 (13%) patients with large ICH volume (>30 mL), which was associated with nonresiding in China, nondiabetic status, severe neurological deficit (National Institutes of Health stroke scale [NIHSS] score ≥ 15), lobar location, intraventricular hemorrhage extension, raised leucocyte count, and hyponatremia. Significant predictors of those patients who underwent surgery (226 of 3233 patients overall; 83 of 372 patients with large ICH) were younger age, severe neurological deficit (lower Glasgow coma scale score, and NIHSS score ≥ 15), baseline ICH volume > 30 mL, and intraventricular hemorrhage. CONCLUSIONS Early identification of severe ICH, based on age and clinical and imaging parameters, may facilitate neurosurgery and intensive monitoring of patients.
copUnited States
pubOxford University Press
pmid28605557
doi10.1093/neuros/nyx129
oafree_for_read