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Acta Facultatis Medicae Naissensis
2019, vol. 36, br. 3, str. 207-218
jezik rada: engleski
vrsta rada: izvorni naučni članak
objavljeno: 09/11/2019
doi: 10.5937/afmnai1903208L
Creative Commons License 4.0
Povezanost parametara sa prijema na bolničko lečenje i stepena funkcionalnog oporavka kod terapijski konzervativno lečenih pacijenata sa spontanim moždanim krvarenjem
aUniverzitet u Nišu, Medicinski fakultet + Klinički centar Niš, Klinika za neurologiju
bUniverzitet u Nišu, Medicinski fakultet + Institut za javno zdravlje Niš, Niš

e-adresa: srljub@gmail.com

Sažetak

Cilj rada bio je ispitati povezanost parametara sa prijema na bolničko lečenje i kliničkog ishoda kod pacijenata sa netraumatskim intracerebralnim krvarenjem (ICK) mlađih od 65 godina, koji su terapijski konzervativno tretirani. Analizirani podaci prikupljeni su iz medicinske dokumentacije 341 pacijenta sa ICK. Analizirani su demografski, klinički, radiološki, biohemijski i drugi relevantni parametri sa prijema na bolničko lečenje u odnosu na funkcionalni ishod ICK prilikom otpusta sa bolničkog lečenja. Sledeći parametri prepoznati su kao prediktori fatalnog kliničkog ishoda: niže vrednosti GCS (OR 0,686; p = 0,023), visoke vrednosti NIHSS (OR 1,258; p < 0,001), povišena telesna temperatura (OR 1,896; p = 0,034), odsustvo glavobolje u kliničkoj prezentaciji ICK (OR 0,298; p = 0,012) i ubrzana sedimentacija u prvom satu (OR 1,028; p = 0,045). Prediktori dobrog kliničkog ishoda nakon ICK bili su: visoke vrednosti GCS (OR 1,876; p = 0,032), niže vrednosti NIHSS (OR 0,841; p = 0,002) i postojanje glavobolje u kliničkoj prezentaciji ICK (OR 5,115; p = 0,001). Poznavanje faktora predikcije kliničkog ishoda nakon ICK značajno je za prepoznavanje pacijenata sa visokim rizikom za progresiju ICK i loš klinički ishod. Ovo može biti korisno u izboru patogenetske terapije koja bi progresiju ICK mogla prevenirati.

Ključne reči

moždano krvarenje; funkcionalni oporavak

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