一个巴西系列利用SMASH-U系统进行脑内出血的病因分类
Luiz Henrique Libardi Silva1, João Brainer Clares de Andrade1,2, Ahmad Ali El Majdoub1
1Universidade Federal de São Paulo, São Paulo SP, Brazil.
Arquivos de neuro-psiquiatria
|February 5, 2024
概括
这项研究使用SMASH-U尺度分析了巴西脑内出血 (ICH) 的原因. 高血压和粉样血管病变是常见的,在年轻患者和女性中观察到结构性病变.
科学领域:
- 神经学 神经学
- 脑卒中医学 脑卒中医学
- 流行病学 流行病学
背景情况:
- 脑内出血 (ICH) 的原因需要了解治疗和预防.
- 该SMASH-U尺度有助于分类和预测ICH结果.
研究的目的:
- 详细介绍SMASH-U分类和基于病因学的结果.
- 专注于巴西圣保罗一家综合性中风中心的患者.
主要方法:
- 从2015年4月到2018年1月对患者的回顾性分析.
- 两个中风神经病学家对SMASH-U分类的评估.
- 排除有不完整病历的患者.
主要成果:
- 在2000名中风患者中分析了140名中风患者;平均年龄57.9岁,54.3%是男性.
- 高血压 (41.4%),粉样血管病变 (18.5%) 和结构性病变 (14.1%) 是主要的病因.
- 结构性病变在女性和45岁以下的人群中更常见;在结构性病变的61%,相对于与药物相关的原因的10%,结果有利.
结论:
- 为巴西ICH患者提供病因学的见解.
- 高血压和粉样血管病变是常见的原因.
- 结构性病变和系统性疾病在年轻人中更为常见.
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