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Conference Paper: Clinical relevance of severe initial hypertension in acute intracerebral haemorrhage

TitleClinical relevance of severe initial hypertension in acute intracerebral haemorrhage
Authors
KeywordsMedical sciences
Issue Date2004
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org.hk
Citation
The 1st Asian Pacific Conference Against Stroke, Hong Kong, 17-19 April 2004. In Hong Kong Medical Journal, 17-19 April 2004, v. 10 n. 2, suppl. 1, p. 26, abstract FP II-03 How to Cite?
AbstractOBJECTIVE: To characterise severe initial hypertension (SIH) in the acute intracerebral haemorrhage (ICH) and the related clinical outcomes. METHODOLOGY: We prospectively identified patients admitted to a regional hospital with acute ICH between January 2003 and September 2003. SIH was defined by systolic BP >180 mmHg, diastolic BP >105 mmHg and/or mean BP >130 mmHg for 2 or more readings at 10 or more minutes apart. Clinical data was recorded and analyzed. The modified Rankin score was used to assess disability. RESULTS: A total of 102 patients were identified. SIH was found in 72 patients (70.6%). Comparing those with SIH and those without SIH, they differed statistically in Glasgow Coma Scale (p=0.03), National Institutes of Health Stroke Scale (p<0.001), volume of ICH (p=0.006), past history of hypertension (p=0.03) and time from onset to hospital arrival (p=0.013). Patients with SIH had a statistically significant increase in 30-day mortality (p=0.028) and 3-month mortality (p=0.016) as well as increase in 30-day disability (p=0.003) and 3-month disability (p=0.006). However, the correlation between SIH and mortality or disability was lost when controlling for the above factors. Furthermore, about half of the patients with SIH had their BP subsided within the first day, and this was associated with a significantly lower 30-day disability (p=0.033) and 3-month disability (p=0.045). CONCLUSION: SIH in acute ICH is related to a poor neurological state, an increased volume of ICH, a past history of hypertension and a shorter delay from onset. SIH is a prognostic indicator for mortality and disability but is not an independent factor. As those with early settle of BP have a lower disability, aggressive BP control in the acute phase of ICH may lessen the morbidity.
DescriptionFree Paper Presentations – Session 2
Persistent Identifierhttp://hdl.handle.net/10722/46919
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279

 

DC FieldValueLanguage
dc.contributor.authorCheng, TSen_HK
dc.contributor.authorMak, Wen_HK
dc.contributor.authorFong, GCYen_HK
dc.contributor.authorChan, KHen_HK
dc.contributor.authorHo, SLen_HK
dc.contributor.authorCheung, RTFen_HK
dc.date.accessioned2007-10-30T07:01:15Z-
dc.date.available2007-10-30T07:01:15Z-
dc.date.issued2004en_HK
dc.identifier.citationThe 1st Asian Pacific Conference Against Stroke, Hong Kong, 17-19 April 2004. In Hong Kong Medical Journal, 17-19 April 2004, v. 10 n. 2, suppl. 1, p. 26, abstract FP II-03en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/46919-
dc.descriptionFree Paper Presentations – Session 2-
dc.description.abstractOBJECTIVE: To characterise severe initial hypertension (SIH) in the acute intracerebral haemorrhage (ICH) and the related clinical outcomes. METHODOLOGY: We prospectively identified patients admitted to a regional hospital with acute ICH between January 2003 and September 2003. SIH was defined by systolic BP >180 mmHg, diastolic BP >105 mmHg and/or mean BP >130 mmHg for 2 or more readings at 10 or more minutes apart. Clinical data was recorded and analyzed. The modified Rankin score was used to assess disability. RESULTS: A total of 102 patients were identified. SIH was found in 72 patients (70.6%). Comparing those with SIH and those without SIH, they differed statistically in Glasgow Coma Scale (p=0.03), National Institutes of Health Stroke Scale (p<0.001), volume of ICH (p=0.006), past history of hypertension (p=0.03) and time from onset to hospital arrival (p=0.013). Patients with SIH had a statistically significant increase in 30-day mortality (p=0.028) and 3-month mortality (p=0.016) as well as increase in 30-day disability (p=0.003) and 3-month disability (p=0.006). However, the correlation between SIH and mortality or disability was lost when controlling for the above factors. Furthermore, about half of the patients with SIH had their BP subsided within the first day, and this was associated with a significantly lower 30-day disability (p=0.033) and 3-month disability (p=0.045). CONCLUSION: SIH in acute ICH is related to a poor neurological state, an increased volume of ICH, a past history of hypertension and a shorter delay from onset. SIH is a prognostic indicator for mortality and disability but is not an independent factor. As those with early settle of BP have a lower disability, aggressive BP control in the acute phase of ICH may lessen the morbidity.-
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dc.format.extent12228 bytes-
dc.format.extent9894 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypetext/plain-
dc.format.mimetypetext/plain-
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org.hken_HK
dc.relation.ispartofHong Kong Medical Journal-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectMedical sciencesen_HK
dc.titleClinical relevance of severe initial hypertension in acute intracerebral haemorrhageen_HK
dc.typeConference_Paperen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=10&issue=2 Suppl 1&spage=26&epage=&date=2004&atitle=Clinical+relevance+of+severe+initial+hypertension+in+acute+intracerebral+haemorrhageen_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.hkuros87598-
dc.identifier.volume10-
dc.identifier.issue2, suppl. 1-
dc.identifier.spage26, abstract FP II-03-
dc.identifier.epage26, abstract FP II-03-
dc.customcontrol.immutablesml 160303-

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