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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
A Journal on Physical Medicine and Rehabilitation after Pathological Events
Official Journal of the , , , ,
In association with
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
Europa Medicophysica 1999 March;35(1):35-40
Predictors of long-term case fatality (one-year) in primary intracerebral hemorrhage
Zorzon M., Masè G., Biasutti E., Vitrani B., Cazzato G.
Neurologic Clinic, University of Trieste, Italy
BACKGROUND: To determine, on clinical and radiological grounds, the prognostic factors which may be associated with the long-term survival after primary intracerebral hemorrhage.
METHODS: Design: prospective follow-up study. Setting: Hospitalized care. Patients: 126 consecutive patients hospitalized within 24 hours of onset of supratentorial primary intracerebral hemorrhage. The diagnosis was confirmed by CT scan of the skull. No patient was lost to follow-up. Main outcome: potential risk factors (clinical and radiological variables) for death were studied prospectively up to one year after hemorrhage.
RESULTS: In stepwise multivariate logistic regression analysis, intraventricular spreading of the hemorrhage, large hemorrhage size, low Glasgow Coma Scale score and limb paresis (i.e. the patient cannot completely overcome gravity in the range of motion) were significant independent predictors of one-year case fatality.
CONCLUSIONS: The results suggest that long-term case fatality after an intracerebral hemorrhage correlates with the severity of anatomical lesions on CT and the level of consciousness on admission, and also with the severity of motor deficits, implying that the complications of relative immobilization can affect the long-term prognosis of primary intracerebral hemorrhage. Therefore every effort should be made to initiate rehabilitation as soon as possible to avoid the complications of immobility.