Predictors of poor outcomes in patients with intracerebral hemorrhage
ObjectiveTo identify the predictors of 3-month outcomes in Chinese patients with intracerebral hemorrhage (ICH) receiving conservative management.MethodsFrom October 2013 to May 2016, a total of 5,589 individuals with ICH were screened as part of the CRRICH study (Clinical re-evaluation of removing...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2025.1517760/full |
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| author | Liling Zeng Qixin Zhang Zhangyong Xia Wanzhen Cui Jianwen Guo |
| author_facet | Liling Zeng Qixin Zhang Zhangyong Xia Wanzhen Cui Jianwen Guo |
| author_sort | Liling Zeng |
| collection | DOAJ |
| description | ObjectiveTo identify the predictors of 3-month outcomes in Chinese patients with intracerebral hemorrhage (ICH) receiving conservative management.MethodsFrom October 2013 to May 2016, a total of 5,589 individuals with ICH were screened as part of the CRRICH study (Clinical re-evaluation of removing blood stasis therapy in treating acute intracerebral hemorrhage). Of these, 319 patients were ultimately enrolled. This study constitutes a post analysis of the CRRICH study. Potential predictors of poor outcomes following spontaneous ICH, initially identified through univariate analysis, were further evaluated using an unconditional multiple logistic regression model. Poor outcomes were defined as a modified Rankin scale score > 2 at 90 days post-ICH.ResultsOf the 319 patients (mean age 62.46 ± 0.71 years; male/female ratio 1.8:1), 89 (27.9%) had poor 3-month outcomes. Multivariable analysis showed increased odds of poor outcomes with older age (odds ratio [OR] 1.05; 95% confidence interval [CI] 1.02–1.08; p < 0.001), right hemispheric hemorrhage (OR 2.41; 95% CI 1.26–4.60; p = 0.008), intraventricular hemorrhage (OR 3.70; 95% CI 1.80–7.61; p < 0.001), and a higher National Institutes of Health Stroke Scale score (NIHSS) (OR 1.21; 95% CI 1.14–1.29; p < 0.001). Conversely, higher body mass index (BMI) (OR 0.88; 95% CI 0.77–0.99; p = 0.015) and shorter symptom-to-admission time (OR 0.77; 95% CI 0.62–0.97; p = 0.025) were associated with reduced odds of poor outcomes.ConclusionIn conservatively treated ICH patients, right hemispheric involvement, ventricular hemorrhage, older age, and higher NIHSS score increased poor outcome risks at 3 months, while higher BMI and early admission reduced risks, aiding clinical prognosis prediction. |
| format | Article |
| id | doaj-art-775ca1f9502c4e9daad6fda4d4ff7797 |
| institution | OA Journals |
| issn | 1664-2295 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Neurology |
| spelling | doaj-art-775ca1f9502c4e9daad6fda4d4ff77972025-08-20T02:24:34ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-04-011610.3389/fneur.2025.15177601517760Predictors of poor outcomes in patients with intracerebral hemorrhageLiling Zeng0Qixin Zhang1Zhangyong Xia2Wanzhen Cui3Jianwen Guo4Department of Neurology and Statistics, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaZilkha Neurogenetic Institute, Keck School of Medicine of USC, Los Angeles, CA, United StatesDepartment of Neurology, Liaocheng People's Hospital, Liaocheng, ChinaDepartment of Neurology and Statistics, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaDepartment of Neurology and Statistics, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaObjectiveTo identify the predictors of 3-month outcomes in Chinese patients with intracerebral hemorrhage (ICH) receiving conservative management.MethodsFrom October 2013 to May 2016, a total of 5,589 individuals with ICH were screened as part of the CRRICH study (Clinical re-evaluation of removing blood stasis therapy in treating acute intracerebral hemorrhage). Of these, 319 patients were ultimately enrolled. This study constitutes a post analysis of the CRRICH study. Potential predictors of poor outcomes following spontaneous ICH, initially identified through univariate analysis, were further evaluated using an unconditional multiple logistic regression model. Poor outcomes were defined as a modified Rankin scale score > 2 at 90 days post-ICH.ResultsOf the 319 patients (mean age 62.46 ± 0.71 years; male/female ratio 1.8:1), 89 (27.9%) had poor 3-month outcomes. Multivariable analysis showed increased odds of poor outcomes with older age (odds ratio [OR] 1.05; 95% confidence interval [CI] 1.02–1.08; p < 0.001), right hemispheric hemorrhage (OR 2.41; 95% CI 1.26–4.60; p = 0.008), intraventricular hemorrhage (OR 3.70; 95% CI 1.80–7.61; p < 0.001), and a higher National Institutes of Health Stroke Scale score (NIHSS) (OR 1.21; 95% CI 1.14–1.29; p < 0.001). Conversely, higher body mass index (BMI) (OR 0.88; 95% CI 0.77–0.99; p = 0.015) and shorter symptom-to-admission time (OR 0.77; 95% CI 0.62–0.97; p = 0.025) were associated with reduced odds of poor outcomes.ConclusionIn conservatively treated ICH patients, right hemispheric involvement, ventricular hemorrhage, older age, and higher NIHSS score increased poor outcome risks at 3 months, while higher BMI and early admission reduced risks, aiding clinical prognosis prediction.https://www.frontiersin.org/articles/10.3389/fneur.2025.1517760/fullpredictorsintracerebral hemorrhageoutcomebody mass indexCRRICH trial |
| spellingShingle | Liling Zeng Qixin Zhang Zhangyong Xia Wanzhen Cui Jianwen Guo Predictors of poor outcomes in patients with intracerebral hemorrhage Frontiers in Neurology predictors intracerebral hemorrhage outcome body mass index CRRICH trial |
| title | Predictors of poor outcomes in patients with intracerebral hemorrhage |
| title_full | Predictors of poor outcomes in patients with intracerebral hemorrhage |
| title_fullStr | Predictors of poor outcomes in patients with intracerebral hemorrhage |
| title_full_unstemmed | Predictors of poor outcomes in patients with intracerebral hemorrhage |
| title_short | Predictors of poor outcomes in patients with intracerebral hemorrhage |
| title_sort | predictors of poor outcomes in patients with intracerebral hemorrhage |
| topic | predictors intracerebral hemorrhage outcome body mass index CRRICH trial |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2025.1517760/full |
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