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Intracerebral Hemorrhage
| Content Provider | Semantic Scholar |
|---|---|
| Author | El-Mitwalli, Ashraf Abdel-Moniem Malkoff |
| Copyright Year | 2018 |
| Abstract | Intracerebral hemorrhage (ICH) is a common cause of stroke, accounting for between 5 and 10% of all strokes 1,2,3. In a consecutive series of 938 stroke patients enrolled into the NINCDS Stroke Data Bank, primary ICH accounted for 10.7% of the cases 4. The age-adjusted annual incidence rates for primary intracerebral hemorrhage range from 11 to 31 per 100,000 population in predominantly Caucasian population based-studies with a high rate of CT scanning 5. The risk of intracerebral hemorrhage in blacks is 1.4 times the risk in whites 6. The most common risk factors in the 403 black patients with ICH were pre-existing hypertension (77%), alcohol use (40%), and smoking (30%). Among the 91 non-hypertensive patients, 21 (23%) were diagnosed with hypertension after onset. Compared with women, men had a younger age of onset (54 versus 60 years; p < .001) and a higher frequency of alcohol use (54% versus 22%; p < .001) and smoking (39% versus 17%; p < .001). ICH secondary to hypertension (n = 311) and of undetermined etiology (n = 73) were the most common subtypes in blacks. Patients aged 65 years and older (compared with those aged 15 to 44 years; p = .001) and women (compared with men; p = .02) were more likely to be dependent at discharge11. ICH remains a significant cause of morbidity and mortality in this population. Analyses of circadian variation in the onset of ICH have shown an increased incidence in the morning (6 A.M. to 12 noon), similar to ischemic stroke, but perhaps with a second peak in the afternoon. The results of seasonal influence on the occurrence of ICH are conflicting 7,8. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://print.ispub.com/api/0/ispub-article/11653 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Alcohol consumption CT scan Cerebral Infarction Cerebrovascular accident Conflict (Psychology) Ethanol Gastrointestinal Hemorrhage Hypertensive disease Incidence matrix Morbidity - disease rate Neoplasms, Unknown Primary Onset (audio) Patients Smoke Subarachnoid Hemorrhage Subtype (attribute) |
| Content Type | Text |
| Resource Type | Article |
