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Long-Term Functiona...
Long-Term Functional Outcome and Quality of Life After Surgical Evacuation of Spontaneous Supratentorial Intracerebral Hemorrhage: Results from a Swedish Nationwide Cohort
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- Jakobsson, Johan (författare)
- Uppsala University,Uppsala universitet,Neurokirurgi,Uppsala Univ, Sweden
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- Redebrandt, Henrietta Nittby (författare)
- Lund Univ, Skane Univ Hosp, Dept Clin Sci, Lund, Sweden.,Skåne University Hospital
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- Tobieson, Lovisa (författare)
- Linköping University,Linköpings universitet,Avdelningen för neurobiologi,Medicinska fakulteten,Region Östergötland, Neurokirurgiska kliniken US
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- Bartek, Jr. (författare)
- Karolinska Univ Hosp, Karolinska Inst, Dept Clin Neurosci, Sect Neurosurg, Stockholm, Sweden.;Karolinska Univ Hosp, Dept Neurosurg, Stockholm, Sweden.;Univ Gothenburg, Inst Neurosci & Physiol, Sahlgrenska Acad, Dept Clin Neurosci, Gothenburg, Sweden.
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- Bartley, Andreas (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Rigshosp, Dept Neurosurg, Copenhagen, Denmark.,Sahlgrenska Academy
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- Troberg, Ebba (författare)
- 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,Skåne University Hospital
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- Mirza, S. (författare)
- Karolinska Univ Hosp, Karolinska Inst, Dept Clin Neurosci, Sect Neurosurg, Stockholm, Sweden.,Karolinska University Hospital
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- Tsitsopoulos, Parmenion P. (författare)
- Uppsala University,Uppsala universitet,Neurokirurgi,Aristotle Univ Thessaloniki, Hippokrat Gen Hosp, Dept Neurosurg, Thessaloniki, Greece.,Uppsala Univ, Sweden; Aristotle Univ Thessaloniki, Greece,Aristotle University of Thessaloniki
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- Marklund, Niklas (författare)
- Lund University,Lunds universitet,Neurokirurgi,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,LUBIN Lab- Lunds laboratorium för neurokirurgisk hjärnskadeforskning,Forskargrupper vid Lunds universitet,Neurosurgery,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,LUBIN Lab- Lund Brain Injury laboratory for Neurosurgical research,Lund University Research Groups,Skåne University Hospital
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- Fahlström, Andreas (författare)
- Uppsala University,Royal Melbourne Hospital
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- Bartek, Jiri (författare)
- Copenhagen University Hospital,Karolinska University Hospital
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(creator_code:org_t)
- Elsevier BV, 2022
- 2022
- Engelska.
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Ingår i: World Neurosurgery. - : Elsevier BV. - 1878-8750 .- 1878-8769. ; 70
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https://doi.org/10.1...
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http://dx.doi.org/10... (free)
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objective: To investigate long-term survival, neurologic outcome, and quality of life in patients with spontaneous supratentorial intracerebral hemorrhage (ICH) treated with craniotomy and hematoma evacuation. Methods: A nationwide multicenter retrospective analysis of 341 patients who underwent craniotomy and evacuation of supratentorial ICH between January 1, 2011, and December 31, 2015, was performed. Baseline characteristics associated with 6-month mortality and long-term mortality were investigated. Survivors received a questionnaire about their state of health from which EuroQol 5D (EQ-5D) and modified Rankin scale (mRS) were obtained. Predictors of mortality, unfavorable outcome, and life quality were analyzed. Results: The mean follow-up time was 55.2 months. Predictors of 6-month mortality in multiple regression analysis were age ≥75 years, previous myocardial infarction, lower level of consciousness, and mechanical ventilation. Predictors of long-term mortality were higher age and mechanical ventilation. At follow-up, 49.5% of survivors had a favorable neurologic outcome (mRS ≤3). Predictors of an unfavorable functional outcome were higher age and ICH volume ≥50 mL. The mean EQ-5D health index was 0.719, and the mean EQ-5D visual analog scale score was 53.9. In multiple regression, only a higher mRS score was significantly associated with worse life quality. Conclusions: Knowledge about survival, functional outcome, and life quality as well as their predictors in this specific patient group is previously primarily described in short-term follow-up. This multicenter study provides novel information in the long-term perspective, which is important for improved surgical decision-making and prognostication.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- Craniotomy
- Intracerebral hemorrhage
- Neurologic outcome
- Quality of life
- Craniotomy
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Jakobsson, Johan
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Redebrandt, Henr ...
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Tobieson, Lovisa
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Bartek, Jr.
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Bartley, Andreas
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Troberg, Ebba
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Mirza, S.
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Tsitsopoulos, Pa ...
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Marklund, Niklas
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Fahlström, Andre ...
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Bartek, Jiri
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Neurologi
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World Neurosurge ...
- Av lärosätet
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Göteborgs universitet
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Uppsala universitet
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Karolinska Institutet
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Linköpings universitet
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Lunds universitet