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Poor intensive stroke care is associated with short-term death after spontaneous intracerebral hemorrhage

2020-04Journal article Restricted access
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dc.contributor.authorMartinez, Joana
dc.contributor.authorMouzinho, Maria
dc.contributor.authorTeles, Joana
dc.contributor.authorGuilherme, Patricia
dc.contributor.authorNogueira, Jerina
dc.contributor.authorFelix, Catarina
dc.contributor.authorFerreira, Fatima
dc.contributor.authorMarreiros, Ana
dc.contributor.authorNzwalo, HipĂłlito
dc.date.accessioned2021-06-24T11:35:45Z
dc.date.available2021-06-24T11:35:45Z
dc.date.issued2020-04
dc.description.abstractObjectives: The case fatality from spontaneous ICH (SICH) remains high. The quality and intensity of early treatment is one of the determinants of the outcome. We aimed to study the association of early intensive care, using the Intracerebral Hemorrhage-Specific Intensity of Care Quality Metrics (IHSICQM) with the 30-day in-hospital mortality in Algarve, Portugal. Patients and Methods: analysis of prospective collected data of 157 consecutive SICH patients (2014-2016). Logistic regression was performed to assess the role of IHSICQM on the 30-day in-hospital mortality controlling for the most common clinical and radiological predictors of death. Receiver operating characteristic (ROC) curve was developed to evaluate the prediction accuracy of the IHSICQM score (C-statistics). Results: forty-five (29 %) patients died. The group of deceased patients had lower intensity of care (lower IHSICQM score) and higher proportion of poor prognosis associated factors (pre-ICH functional dependency, intraventricular dissection/glycaemia). On the multivariate analysis, higher IHSICQM was associated with reduction of the odds of death, 0.27 (0.14-0.50) per each increasing point. The ROC curve showed a high discriminating ability of isolated IHSICQM in predicting the 30-day mortality (AUC = 0,95; 95 % CI = [0,86; 0,95]). Conclusion: the early intensity of quality of care independently predicts the 30-day in-hospital mortality. Quantification of the intensity of SICH is a valid tool to persuade improvement of SICH care, as well to help comparison of performances within and between hospitals.
dc.description.versioninfo:eu-repo/semantics/publishedVersion
dc.identifier.doi10.1016/j.clineuro.2020.105696
dc.identifier.issn0303-8467
dc.identifier.urihttp://hdl.handle.net/10400.1/16528
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.subjectIntensity of care
dc.subjectOutcome
dc.subjectQuality of care
dc.subjectMortality
dc.subjectIntracerebral hemorrhage
dc.subject.otherNeurosciences & Neurology
dc.titlePoor intensive stroke care is associated with short-term death after spontaneous intracerebral hemorrhage
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage105696
oaire.citation.titleClinical Neurology and Neurosurgery
oaire.citation.volume191
person.familyNameMartinez
person.familyNameNogueira
person.familyNameMarreiros
person.familyNameNzwalo
person.givenNameJoana
person.givenNameJerina
person.givenNameAna
person.givenNameHipĂłlito
person.identifier337064
person.identifier.ciencia-id9A12-9450-7051
person.identifier.ciencia-id2C1F-E4F3-2C79
person.identifier.orcid0000-0001-5272-7832
person.identifier.orcid0000-0001-9349-7594
person.identifier.orcid0000-0001-9410-4772
person.identifier.orcid0000-0002-1502-3534
person.identifier.ridAAG-3931-2020
person.identifier.scopus-author-id57194785077
person.identifier.scopus-author-id36057285600
rcaap.rightsrestrictedAccess
rcaap.typearticle
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relation.isAuthorOfPublication54981fd1-18b8-445d-af14-b3e38d5792b4
relation.isAuthorOfPublicationc0a8e5da-26ae-42a8-ab04-fa4df4356375
relation.isAuthorOfPublication287f7d4e-5ad8-4794-b526-c61d32c00446
relation.isAuthorOfPublication.latestForDiscovery54981fd1-18b8-445d-af14-b3e38d5792b4

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