%0 Journal Article
%T CT Findings and Mortality in Patients with Nontraumatic Intracerebral Hemorrhage Hallazgos tomogr¨¢ficos y mortalidad en pacientes con hemorragias intracerebrales no traum¨¢ticas
%A Pedro Juan Barrios Fuentes
%A Jos¨¦ Luis Bernal Mu£¿oz
%A Marcos F¨¦lix Osorio Pagola
%A Anagalys Ortega Alvelay
%J MediSur
%D 2011
%I Centro Provincial de Informaci¨®n de las Ciencias M¨¦dicas en Cienfuegos
%X Background: Cerebrovascular disease is among the leading causes of death in developed countries. Intracerebral hemorrhage contributes a significant number of these deaths. Objective: To establish the prognostic value of a set of demographic and tomography variables in patients with nontraumatic intracerebral hemorrhage. Methods: A descriptive case series study was conducted. The sample consisted of patients diagnosed with intraparenchymatous and intracerebral hemorrhage admitted in the General University Hospital of Cienfuegos between May 2006 and April 2007. Clinical records were analyzed. In the case of dead patients the autopsy reports were included. Patients were characterized according to demographic and tomographic variables, considered as risk factors for the type of analyzed hemorrhage. Mortality was determined as well as the behaviour of these variables in such cases. Results: 135 patients were included, being 76.3% of them over 60 years old. There were no differences according to gender. Patients with non-white skin color were predominant. Intracerebral hemorrhage was more common in patients under 60 years old while intraparenchymatous hemorrage predominated in patients from 75 on. Most voluminous hematomas were detected in intracerebral hemorrhage patients (83.3%), as well as hydrocephalus (52.2%). The risk of dying from this type of hemorrhage (94.0%) was higher than from intraparenchymatous hemmorrage (about 81%). Conclusions: The highly contributing factors to mortality were: old age, non-white skin color, hydrocephalus and displacement of midline structures for more than 5 mm. Fundamento: la enfermedad vascular cerebral se encuentra entre las primeras causas de muerte en pa¨ªses desarrollados. La hemorragia intracerebral aporta un n¨²mero importante de esas muertes. Objetivo: establecer el valor pron¨®stico de un grupo de variables demogr¨¢ficas y tomogr¨¢ficas en pacientes con hemorragias intracerebrales no traum¨¢ticas. M¨¦todos: estudio descriptivo, de serie de casos en pacientes con diagn¨®stico de hemorragia intraparenquimatosa y cerebromen¨ªngea que ingresaron en el Hospital General Universitario de Cienfuegos, entre mayo de 2006 y abril de 2007. Se revisaron los expedientes cl¨ªnicos, en los fallecidos se incluy¨® el protocolo de necropsia. Se caracteriz¨® a los pacientes teniendo en cuenta variables demogr¨¢ficas y tomogr¨¢ficas, consideradas como factores de riesgo para las hemorragias analizadas. Se determin¨® la mortalidad y su relaci¨®n con estas variables. Resultados: se incluyeron 135 pacientes; el 76,3 % presentaba una edad mayor de 60 a o
%K Hemorragia cerebral
%K tomograf¨ªa
%K mortalidad
%U http://www.medisur.sld.cu/index.php/medisur/article/view/1111