Acute blood-pressure management and prognostic factors in patients with intracerebral hemorrhage

2017 
Abstract Objective We studied blood-pressure management and outcomes at discharge in patients with acute intracerebral hemorrhage. Methods We studied 704 patients with intracerebral hemorrhage were admitted to the Department of Neurosurgery of our hospital. We divided the patients into two groups according to the modified Rankin Scale score at discharge: a favorable outcome group (modified Rankin Scale score, 0–2) and an unfavorable outcome group (modified Rankin Scale score, 3–6). Univariate analysis was performed between the two groups, and good prognostic factors were extracted, and multivariate analysis was performed with the significant difference factors (p  Results The following variables differed significantly (p  Conclusions In patients with intracerebral hemorrhage, predictors of poor outcomes at discharge were younger age, better consciousness level at arrival, and lower systolic blood-pressure 6 h after arrival. If intracerebral hemorrhage is diagnosed, antihypertensive therapy should be started immediately, and it is important to lower the blood-pressure within 6 h after arrival.
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