کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3041240 | 1184766 | 2010 | 7 صفحه PDF | دانلود رایگان |
BackgroundOptimal management of blood pressure (BP) in spontaneous intracerebral haemorrhage (ICH) is controversial. We assessed adherence to BP guidelines and its management in ICH in a tertiary Canadian Stroke Centre.MethodsWe conducted a retrospective analysis of 142 CT confirmed primary ICH patients admitted within 24 h of symptoms between 2005 and 2006. Initial practice with respect to BP control was reviewed and compared with current guidelines. This retrospective sample was compared with a prospective cohort participating in a BP lowering trial for the attainment of pre-defined BP targets. We also assessed the effect of BP treatment on hematoma expansion and mortality.ResultsBlood pressure treatment orders were established in 73% of the 142 patients (median age 71 years, 61% male). Only 26% of patients had target orders as advised in the current AHA guidelines. Only 54% achieved BP targets as compared with 83% of the prospective cohort within 1 h. Patients with established BP orders were more likely to have repeat brain imaging (70.2%) than those without (39.5%; p = 0.001 Mortality rates were 29.8% and 47.4% in those with and without BP targets respectively (p = 0.051).ConclusionsManagement of BP varies considerably and there appears to be little adherence to recommended guidelines. Targets are achieved more rapidly if a BP treatment protocol is utilized.
Journal: Clinical Neurology and Neurosurgery - Volume 112, Issue 10, December 2010, Pages 858–864