Document Detail


Acute physiologic predictors of mortality and functional and cognitive recovery in hemorrhagic stroke: 1-, 3-, and 6-month assessments.
MedLine Citation:
PMID:  17689395     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was conducted to evaluate the prognostic values of acute physiologic parameters of mortality and functional and cognitive recovery. We studied 108 patients with hemorrhagic stroke admitted within 24 hours after stroke onset to a neurologic intensive care department. Details concerning potential physiologic predictors were collected (i.e., systolic and diastolic blood pressure, pulse rate, respiration rate, body temperature, hematocrit, Pao(2), Paco(2) and serum osmolality, pH, cholesterol, and glucose levels) at admission. As outcome variables, mortality and functional and cognitive recovery at 1, 3, and 6 months were measured. Results showed that blood pressure, serum pH, and Pao(2) on admission are significant predictors of mortality; that respiratory rate and hematocrit on admission are significant predictors of functional recovery; and that respiratory rate, Pao(2), and heart rate on admission predict cognitive recovery. It appears that the physiologic predictors of hemorrhagic stroke are remarkably dependent on outcome definitions (i.e., mortality, functional disability, or cognitive ability), but not with recovery times.
Authors:
WhaSook Seo; HyunSoo Oh
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association     Volume:  16     ISSN:  1532-8511     ISO Abbreviation:  J Stroke Cerebrovasc Dis     Publication Date:    2007 Mar-Apr
Date Detail:
Created Date:  2007-08-10     Completed Date:  2007-09-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111633     Medline TA:  J Stroke Cerebrovasc Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  57-63     Citation Subset:  IM    
Affiliation:
Department of Nursing, College of Medicine, Inha University, Incheon, Republic of Korea. wschang@inha.ac.kr <wschang@inha.ac.kr>
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Aged
Aneurysm, Ruptured / complications
Blood Glucose / analysis
Blood Pressure
Body Temperature
Brain Damage, Chronic / epidemiology,  etiology
Carbon Dioxide / blood
Cerebral Hemorrhage / blood,  mortality,  physiopathology*,  psychology
Cholesterol / blood
Cognition Disorders / epidemiology,  etiology
Diabetes Complications
Disease Progression
Female
Follow-Up Studies
Heart Rate
Hematocrit
Humans
Hydrogen-Ion Concentration
Hypertension / complications
Intracranial Aneurysm / complications
Male
Middle Aged
Osmolar Concentration
Outcome Assessment (Health Care)
Oxygen / blood
Partial Pressure
Predictive Value of Tests
Prognosis
Prospective Studies
Recovery of Function
Respiration
Rupture, Spontaneous
Subarachnoid Hemorrhage / blood,  etiology,  mortality,  physiopathology,  psychology
Survival Analysis
Chemical
Reg. No./Substance:
0/Blood Glucose; 124-38-9/Carbon Dioxide; 57-88-5/Cholesterol; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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