Revista de Investigación Clínica (Jan 2022)

Hospital Arrival and Functional Outcome after Intracerebral Hemorrhage

  • José L. Ruiz-Sandoval,
  • Javier Aceves-Montoya,
  • Erwin Chiquete,
  • Germán López-Valencia,
  • Alejandro Lara-López,
  • Manuel Sánchez-González,
  • Amado Jiménez-Ruiz,
  • Fernando Barinagarrementería,
  • Luis Murillo-Bonilla,
  • Antonio Arauz-Góngora,
  • Fernando Daniel Flores-Silva,
  • Carlos Cantú-Brito

DOI
https://doi.org/10.24875/RIC.21000471
Journal volume & issue
Vol. 74, no. 1

Abstract

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Background: Intracerebral hemorrhage (ICH) is associated with an ominous outcome influenced by the time to hospital presentation. Objective: This study aims to identify the factors that influence an early hospital arrival after ICH and the relationship with outcome. Methods: In this multicenter registry, patients with confirmed ICH on CT scan and well-known time of symptoms onset were studied. Clinical data, arrival conditions, and prognostic scores were analyzed. Multivariate models were built to find independent predictors of - 3 years of schooling (OR: 1.804, 95% CI: 1.055-3.084), and seizures at ICH onset (OR: 2.416, 95% CI: 1.068-5.465). Predictors of death (56.9% neurological) were systolic blood pressure > 180 mmHg (hazards ratios [HR]: 1.839, 95% CI: 1.031-3.281), ICH score >- 3 (HR: 2.302, 95% CI: 1.300-4.074), and admission Glasgow Coma Scale < 8 (HR: 4.497, 95% CI: 2.466-8.199). Early arrival was not associated with outcome at discharge, 30 or 90 days. Conclusions: In this study, less than half of patients with ICH arrived to the hospital in < 6 h. However, early arrival was not associated with the short-term outcome in this data set.

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