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Intracerebral Hemorrhage Survivors’ Outcomes Studied

J Stroke Cerebrovasc Dis; ePub 2018 Sep 28; Griauzde, et al

Worse cognitive outcomes were found in Mexican Americans (MAs) compared with non-Hispanic whites (NHW) following intracerebral hemorrhage, according to a recent population based study. Spontaneous ICH patients were identified from the Brain Attack Surveillance in Corpus Christi project. Outcomes included neurologic (National Institutes of Health Stroke Scale: range 0-42), functional (activities of daily living/instrumental activities of daily living score: range 1-4, higher worse), cognitive (Modified Mini-Mental State Examination [3MSE]: range 0-100), and QOL (short-form stroke-specific QOL scale: range 0-5, higher better). Researchers found:

  • A total of 245 patients completed baseline interviews, with 103 (42%) dying prior to follow-up, leaving 142 eligible for outcome assessment; median age was 66 years.
  • 3-month follow-up was completed in 100 (neurologic), 107 (functional), 79 (cognitive), and 83 (QOL) participants.
  • Cognitive outcomes were worse in MAs compared to non-Hispanic whites (NHW) after multivariable adjustment (MA scoring 13.3 3MSE points <NHW).
  • There was no difference by sex or ethnicity in neurological, functional, or QOL outcomes, and no sex differences in cognitive outcomes.

Citation:

Griauzde J, Lisabeth LD, Li C, et al. A population-based study of intracerebral hemorrhage survivors’ outcomes. [Published online ahead of print September 28, 2018]. J Stroke Cerebrovasc Dis. doi:10.1016/j.jstrokecerebrovasdis.2018.09.005.

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