Incidence of Ischemic and Thrombotic Events Following Nontraumatic Intracerebral and Subarachnoid Hemorrhages

M. Maghbooli, Reza Ahmadi, Ghazaleh Bahrami
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Abstract

the factors (hypertension, mellitus, atrial fibrillation, initial neurological indices (Glasgow scale, ICH and Hess and bleeding size in were evaluated 1 week, 1 month, 3 months, and 6 months after intracerebral hemorrhage and subarachnoid hemorrhage for the incidence of deep vein thrombosis, pulmonary embolism, ischemic heart disease, and ischemic s troke. Results: 165 patients had intracerebral hemorrhage and 38 patients had subarachnoid hemorrhage. The cumulative incidence of thromboischemic events in an unselected intracerebral hemorrhage and subarachnoid hemorrhage population was 31%. The overall incidence rates of deep vein thrombosis, pulmonary embolism, ischemic heart disease, and ischemic s troke after 6 months of intracerebral hemorrhage and subarachnoid hemorrhage onset were 10.9%, 5%, 10%, and 7.4%, respectively. The mean time to the events was 145.5 ± 5.5 days. Conclusion: Age, smoking, hypertension, diabetes mellitus, and atrial fibrillation were the significant independent risk factors for thromboischemic events. Age, higher ICH score, Hunt & Hess grade, and hemorrhage size >30cc have shown significant correlations with the development of deep vein thrombosis.
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非创伤性脑内和蛛网膜下腔出血后缺血性和血栓事件的发生率
在脑出血和蛛网膜下腔出血后1周、1个月、3个月、6个月,分别评价各因素(高血压、糖尿病、房颤)、初始神经学指标(格拉斯哥评分、脑出血、Hess评分)和出血大小对深静脉血栓形成、肺栓塞、缺血性心脏病、缺血性卒中发生率的影响。结果:脑出血165例,蛛网膜下腔出血38例。在未选择的脑出血和蛛网膜下腔出血人群中,血栓缺血性事件的累积发生率为31%。脑出血和蛛网膜下腔出血发生6个月后,深静脉血栓形成、肺栓塞、缺血性心脏病和缺血性中风的总发生率分别为10.9%、5%、10%和7.4%。这些事件发生的平均时间为145.5±5.5天。结论:年龄、吸烟、高血压、糖尿病、房颤是血栓缺血性事件的重要独立危险因素。年龄、较高的ICH评分、Hunt & Hess分级、出血大小>30cc与深静脉血栓的发生有显著相关性。
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