Short term survival in Spontaneous Intracerebral Hemorrhage
Abstract
Introduction: the spontaneous intracerebral hemorrhage (SICH) occupies since 10% until 15 % all the cases of cerebrovascular acute diseases (in some series it reaches 30 %).
Objective: to determine the short term survival in patients with spontaneous intracerebral hemorrhage at Carlos Manuel de Cespedes Hospital in Bayamo.
Method: it was prospectively evaluated the survival in 123 patients who constituted a cohort of study with the diagnostic of spontaneous intracerebral hemorrhage.
Results: the survival was measured in days, the survival predicting factors were determined by regression of Cox proportional risk. In the sample studied 75 patients were men (average of age- 65, 01) and 48 women (average of age- 64, 60); 54 patients (43, 9%) passed away within the first 30 days. The survival probability after 30 days was conditioned by the displacement of medium line structures (p= 0,000), the Glasgow punctuation at the time of hospitalizing (p= 0,000), the presence of the Systemic Inflammatory Response Syndrome (p= 0,009), the low respiratory sepsis (p= 0,010) and the respiratory arrhythmia (p= 0,035). It was generated a ROC curve to determine the prognosis capacity of the Cox regression model, the area under the Roc curve was about 0,909.
Conclusions: the values obtained through the adjustment of the regression model of Cox proportional risk, could estimate the short term survival of our patients.
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References
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