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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 04007naa a2200505 4500 | |
| 001 | oai:gup.ub.gu.se/253289 | |
| 003 | SwePub | |
| 008 | 240528s2017 | |||||||||||000 ||eng| | |
| 024 | 7 | a https://gup.ub.gu.se/publication/2532892 URI |
| 024 | 7 | a https://doi.org/10.1161/strokeaha.116.0151862 DOI |
| 040 | a (SwePub)gu | |
| 041 | a eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Wu, T. D. Y.4 aut |
| 245 | 1 0 | a Simultaneous Multiple Intracerebral Hemorrhages (SMICH) |
| 264 | 1 | b Ovid Technologies (Wolters Kluwer Health),c 2017 |
| 520 | a Background and Purpose-Simultaneous multiple intracerebral hemorrhages (SMICHs) are uncommon. Few single-center studies have analyzed characteristics and outcome of SMICH. We analyzed clinical characteristics and outcome of SMICH patients from 2 comprehensive stroke centers. Methods-Baseline imaging from consecutive intracerebral hemorrhage (ICH) patients (n=1552) from Helsinki ICH study and Royal Melbourne Hospital ICH study was screened for SMICH. ICH pathogenesis was classified according to the structural lesion, medication, amyloid angiopathy, systemic/other disease, hypertension, undetermined classification system (SMASH-U). ICH caused by trauma, tumor, and aneurysmal rupture was excluded. Baseline clinical and radiological characteristics and 90-day mortality were compared between SMICH and single ICH patients. Association of SMICH with 90-day mortality was assessed in multivariable logistic regression models adjusted for predictors of ICH outcome. Results-Of 1452 patients, 85 (5.9%) were classified as SMICH. SMICH were more often female (58% versus 42%; P=0.004), had lower baseline Glasgow Coma Scale (12 versus 14; P=0.008), and more frequent lobar location (59% versus 34%; P<0.001) compared with single ICH. The SMASH-U pathogenesis of SMICH patients was less often hypertensive (20% versus 37%; P=0.001), more often systemic coagulopathy (12% versus 3%; P<0.001), and trended toward more cerebral amyloid angiopathy (32% versus 23%; P=0.071). SMICH was not associated with 90-day mortality on univariate (37% versus 35%; P=0.610), multivariable (odds ratio, 0.783; 95% confidence interval, 0.401-1.529; P=0.473), or propensity score-matched analyses (odds ratio, 0.760; 95% confidence interval, 0.352-1.638; P=0.484). Conclusions-SMICH occurs in approximate to 1 in 20 ICH, more commonly with lobar located hematomas and systemic coagulopathy with less hypertensive angiopathy. The associated mortality is similar to single ICH. Given varied etiologies, SMICH management should target the underlying pathology. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Neurologi0 (SwePub)302072 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Neurology0 (SwePub)302072 hsv//eng |
| 653 | a cerebral hemorrhage | |
| 653 | a mortality | |
| 653 | a multiple | |
| 653 | a pathogenesis | |
| 653 | a smash-u | |
| 653 | a classification | |
| 653 | a location | |
| 700 | 1 | a Yassi, N.4 aut |
| 700 | 1 | a Shah, D. G.4 aut |
| 700 | 1 | a Ma, M. M.4 aut |
| 700 | 1 | a Sharma, G.4 aut |
| 700 | 1 | a Putaala, J.4 aut |
| 700 | 1 | a Strbian, D.4 aut |
| 700 | 1 | a Campbell, B. C. V.4 aut |
| 700 | 1 | a Yan, B.4 aut |
| 700 | 1 | a Tatlisumak, Turgutu Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology4 aut0 (Swepub:gu)xtatlt |
| 700 | 1 | a Desmond, P. M.4 aut |
| 700 | 1 | a Davis, S. M.4 aut |
| 700 | 1 | a Meretoja, A.4 aut |
| 710 | 2 | a Göteborgs universitetb Institutionen för neurovetenskap och fysiologi4 org |
| 773 | 0 | t Stroked : Ovid Technologies (Wolters Kluwer Health)g 48:3, s. 581-586q 48:3<581-586x 0039-2499x 1524-4628 |
| 856 | 4 | u https://www.ahajournals.org/doi/pdf/10.1161/STROKEAHA.116.015186 |
| 856 | 4 8 | u https://gup.ub.gu.se/publication/253289 |
| 856 | 4 8 | u https://doi.org/10.1161/strokeaha.116.015186 |
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