Intraventricular Bleeding and Hematoma Size as Predictors of Infection Development in Intracerebral Hemorrhage: A Prospective Cohort Study
Date
2016
Type:
Artículo
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4
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Journal Title
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Volume Title
Publisher
Elsevier
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Abstract
BACKGROUND:
Acute intracerebral hemorrhage (ICH) is associated with increased susceptibility to bacterial infection. The physiopathology of this phenomenon is not very clear. We conducted a prospective observational study investigating the correlation and independent predictors of infections in patients with ICH.
PATIENTS AND METHODS:
Patients admitted between April 1997 and June 2013 with ICH diagnosis were evaluated for inclusion and exclusion criteria.
RESULTS:
Two hundred twenty-two patients were included in this study. Ninety four patients (42.6%) presented with an infection during hospitalization being more common than pneumonia (30%) and urinary tract infections (14%). Intraventricular hemorrhage (IVH) (95% confidence interval [CI], 62.7% versus 39.3%; P < .001) and higher ICH score (95% CI, 2.31% versus 1.67%; P = .0014) were more common in patients who had infections. We found the following risk factors for having an infection in patients with ICH: IVH (odds ratio [OR] 2.3; 95% IC, 1.3-4.1), each point of ICH score (OR 1.3; 95% CI, 1.1-1.6), and having a hematoma volume larger than 30 cc (OR 2.0; 95% CI, 1.1-3.5). The localization of the hematoma was not found to be relevant.
CONCLUSIONS:
ICH score, size of the hematoma, and presence of IVH are independent risk factors for having an infection after ICH.
Description
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Citation
Vial F, Brunser A, Lavados P, Illanes S. Intraventricular Bleeding and Hematoma Size as Predictors of Infection Development in Intracerebral Hemorrhage: A Prospective Cohort Study. J Stroke Cerebrovasc Dis. 2016 Nov;25(11):2708-2711.
Keywords
Intracerebral hemorrhage, ICH, hemorrhagic stroke, immune response, infections, stroke inflammation