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A grading scale for...
A grading scale for surgically treated patients with spontaneous supratentorial intracerebral hemorrhage : The Surgical Swedish ICH Score
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- Fahlström, Andreas (author)
- Uppsala universitet,Enblad: Neurokirurgi,Department of Neuroscience, Neurosurgery, Uppsala University, Uppsala University Hospital, Uppsala, Sweden
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- Redebrandt, Henrietta Nittby (author)
- Lund University,Lunds universitet,Neurokirurgi,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurosurgery,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Univ, Skane Univ Hosp, Dept Clin Sci Lund, Neurosurg, Lund, Sweden.,Department of Clinical Sciences Lund, Neurosurgery, Lund University, Skane University Hospital, Lund, Sweden
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- Zeberg, Hugo (author)
- Karolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Neurosci, Solna, Sweden.,Department of Neuroscience, Karolinska Institutet, Sweden
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- Bartek, Jiri (author)
- Karolinska Institutet,Karolinska University Hospital, Stockholm, Sweden; Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
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- Bartley, Andreas (author)
- Sahlgrenska University Hospital, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Sahlgrenska Univ Hosp, Dept Clin Neurosci,Neurosurg, Gothenburg, Sweden.
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- Tobieson, Lovisa (author)
- Linköpings universitet,Avdelningen för neurobiologi,Medicinska fakulteten,Region Östergötland, Neurokirurgiska kliniken US
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- Erkki, Maria (author)
- Umeå universitet,Neurokirurgi,Umeå Univ, Umeå Univ Hosp, Dept Clin Neurosci, Neurosurg, Umeå, Sweden.,Norrland University Hospital,Umeå University Hospital, Umeå, Sweden
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- Hessington, Amel (author)
- Uppsala universitet,Enblad: Neurokirurgi,Uppsala University Hospital, Uppsala, Sweden
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- Troberg, Ebba (author)
- Lund University,Lunds universitet,Neurokirurgi,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurosurgery,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Univ, Skane Univ Hosp, Dept Clin Sci Lund, Neurosurg, Lund, Sweden.,Skane University Hospital, Lund, Sweden
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- Mirza, Sadia (author)
- Karolinska University Hospital, Stockholm, Sweden,Karolinska Inst, Karolinska Univ Hosp, Dept Med & Clin Neurosci, Neurosurg, Stockholm, Sweden.
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- Tsitsopoulos, Parmenion P. (author)
- Uppsala universitet,Uppsala University,Uppsala University Hospital, Uppsala, Sweden,Enblad: Neurokirurgi
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- Marklund, Niklas (author)
- Uppsala universitet,Lund University,Lunds universitet,Neurokirurgi,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurosurgery,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Uppsala University Hospital, Uppsala, Sweden; Skane University Hospital, Lund, Sweden,Enblad: Neurokirurgi,Lund Univ, Skane Univ Hosp, Dept Clin Sci Lund, Neurosurg, Lund, Sweden.
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(creator_code:org_t)
- Rolling Meadows, IL United States : American Association of Neurological Surgeons, 2020
- 2020
- English 8 s.
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In: Journal of Neurosurgery. - Rolling Meadows, IL United States : American Association of Neurological Surgeons. - 0022-3085 .- 1933-0693. ; 133:3, s. 800-807
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Abstract
Subject headings
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- OBJECTIVE The authors aimed to develop the first clinical grading scale for patients with surgically treated spontaneous supratentorial intracerebral hemorrhage (ICH). METHODS A nationwide multicenter study including 401 ICH patients surgically treated by craniotomy and evacuation of a spontaneous supratentorial ICH was conducted between January 1, 2011, and December 31, 2015. All neurosurgical centers in Sweden were included. All medical records and neuroimaging studies were retrospectively reviewed. Independent predictors of 30-day mortality were identified by logistic regression. A risk stratification scale (the Surgical Swedish ICH [SwICH] Score) was developed using weighting of independent predictors based on strength of association. RESULTS Factors independently associated with 30-day mortality were Glasgow Coma Scale (GCS) score (p = 0.00015), ICH volume ≥ 50 mL (p = 0.031), patient age ≥ 75 years (p = 0.0056), prior myocardial infarction (MI) (p = 0.00081), and type 2 diabetes (p = 0.0093). The Surgical SwICH Score was the sum of individual points assigned as follows: GCS score 15–13 (0 points), 12–5 (1 point), 4–3 (2 points); age ≥ 75 years (1 point); ICH volume ≥ 50 mL (1 point); type 2 diabetes (1 point); prior MI (1 point). Each increase in the Surgical SwICH Score was associated with a progressively increased 30-day mortality (p = 0.0002). No patient with a Surgical SwICH Score of 0 died, whereas the 30-day mortality rates for patients with Surgical SwICH Scores of 1, 2, 3, and 4 were 5%, 12%, 31%, and 58%, respectively. CONCLUSIONS The Surgical SwICH Score is a predictor of 30-day mortality in patients treated surgically for spontaneous supratentorial ICH. External validation is needed to assess the predictive value as well as the generalizability of the Surgical SwICH Score.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Keyword
- Prognostic factors
- Spontaneous intracerebral hemorrhage
- Stroke
- Vascular disorders
- stroke
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Fahlström, Andre ...
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Redebrandt, Henr ...
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Zeberg, Hugo
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Bartek, Jiri
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Bartley, Andreas
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Tobieson, Lovisa
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show more...
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Erkki, Maria
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Hessington, Amel
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Troberg, Ebba
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Mirza, Sadia
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Tsitsopoulos, Pa ...
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Marklund, Niklas
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Neurology
- Articles in the publication
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Journal of Neuro ...
- By the university
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Lund University
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Umeå University
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Uppsala University
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Karolinska Institutet
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Linköping University