Title: Analysis of the Related Factors of Hematoma Enlargement in Hypertensive Intracerebral Hemorrhage Patients Using Coagulation Functional Composite Score
Abstract: Aim To investigate whether a high Coagulation Functional Composite Score(CFCS) is predictive for the hematoma enlargement of hypertensive intracerebral hemorrhage in acute phase using CFCS system. Methods According to the criteria,the patients with hypertensive intracerebral hemorrhage treated from March 2010 to March 2012 were collected. Their CFCS were measured in all the cases and head CT were used to detect the hematoma enlargement in acute phase. All the potential risk factors were analyzed by univariate χ2 test and multivariate Logistic regression analysis. Results A total of 152 cases of patients were enrolled, including 106 cases and 71 female cases. Mean age was(54.7 ± 11.3) years old. The average hematoma volume was(26.2 ± 12.1) mL, average GCS score was 9.8 ± 3.7. In acute phase, the hematoma enlargement happened in 57 cases(37.5%). χ2 test showed that the position of hematoma, blood pressure on 297admission and CFCS, etc. were candidate risk factors for hematoma enlargement(P0.05). Logistic regression analysis with gradually forward methods suggested that systolic blood pressure on admission, CFCS and early use of mannitol were independent risk factors responsible for the hematoma enlargement in hypertensive intracerebral hemorrhage. Conclusion CFCS is closely related with the hematoma enlargement in hypertensive intracerebral hemorrhage. So a high CFCS is predictive for the hematoma enlargement and conducive to the early and timely intervention for hypertensive intracerebral hemorrhage.
Publication Year: 2014
Publication Date: 2014-01-01
Language: en
Type: article
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