Why the study?
Given the high morbidity and mortality of hemorrhagic stroke and limited access to interventional therapy, identifying prognostic factors such as presentation blood pressure parameters alongside the ICH score was needed to assess outcomes.
Do systolic, diastolic, and mean arterial blood pressures at presentation prognosticate in-hospital outcomes in acute hemorrhagic stroke?
Do systolic, diastolic, and mean arterial blood pressures at presentation prognosticate in-hospital outcomes in acute hemorrhagic stroke?
The study aims to evaluate whether admission blood pressure parameters can prognosticate in-hospital outcomes in acute hemorrhagic stroke patients in a rural Indian setting.
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May refine in-hospital prognostication in hemorrhagic stroke; hypothesis-generating in rural cohorts and requires validation.
Stroke is an important and leading cause of morbidity and mortality worldwide. As hemorrhagic stroke has high degree of morbidity and mortality, and treatment being more with supportive therapy and interventional therapy being beyond the reach of an average Indian, it becomes imperative to identify the risk factors and prevent the event as a primary approach and it becomes important to identify the important prognosticating factors in assessing the morbidity and mortality in acute hemorrhagic strokes. Study aimed to identify an added risk factor at the time of presentation in the form of blood pressure measurement by assessing the systolic blood pressure, the diastolic blood pressure and non-invasive mean arterial blood pressure at the time of presentation to the hospital and also correlated it with the ICH score and estimated whether the blood pressure parameters could be used independently or in addition to the existing ICH scoring system to prognosticate the outcome of the hemorrhagic stroke event during in-hospital stay.
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S. Selvamuthukumaran (2019) studied this question.
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