%0 Journal Article
%T Original Article: Prognostic Factors of Long-Term Outcome and Functional Status Following Spontaneous Cerebellar Hemorrhage
%A Chia-Hung Sun
%A Shin-Tsu Chang
%A Liang-Cheng Chen
%A Heng-Yi Chu
%A Shang-Lin Chiang
%A Tsung-Ying Li
%A Yung-Tsan Wu
%J World Journal of Cardiovascular Diseases
%P 93-98
%@ 2164-5337
%D 2014
%I Scientific Research Publishing
%R 10.4236/wjcd.2014.43014
%X <p style=\"text-align:justify;\">
	<span style=\"font-size:9pt;\">Cerebellar hemorrhage (CH) has a higher early mortality rate
compared with other types of intracranial hemorrhage and the survivors often
suffer from momentous disability. Hence, the prognostic factors of long-term
outcome beyond 6 months after CH are clinically valuable, however only three
studies were reported in the literature. Sixty-one patients with CH were
retrospectively analyzed at least 6 months after hemorrhage. The long-term
outcome of all patients and long-term functional status of survivors beyond 6
months (the patients who died within 6 months after hemorrhage were excluded)
were assessed using the modified Rankin Scale (mRS): favorable outcome (mRS 0 -
2) and unfavorable outcome (mRS 3 - 6). All of the prognostic factors were
analyzed by univariate and multivariate Cox proportional hazards regression
models. There were 16 (26.2%) patients in the favorable outcome group and 45
(73.8%) in the unfavorable outcome group with respect of long-term outcome in
all patients. The radiological brainstem compression (HR = 3; p = 0.015) was
shown to be an independent predictor. On the other hand, 46 out of 61 (75.4%)
patients survived beyond 6 months. In total, 16 (34.7%) patients had a
favorable functional status, and 65.3% (30/46) had a persistent unfavorable
functional status. Moreover, only age </span><span style=\"font-size:9pt;font-family:Symbol;\">3</span><span style=\"font-size:9pt;\">65 years (HR = 3; p = 0.019) was an
independent predictor. Radiological brainstem compression and age </span><span style=\"font-size:9pt;font-family:Symbol;\">3</span><span style=\"font-size:9pt;\">65 were
respectively shown to be a strong prognostic factor for long-term outcome and
functional status among survivors beyond 6 months after hemorrhage in patients
with CH.</span> 
</p>
%K Prognostic Factor
%K Long-Term Outcome
%K Cerebellar Hemorrhage
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=43917