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Testing the outcome score of spontaneous intracerebral haemorrhage in haemodialysis patients
Internal Medicine Journal, 10/21/09
Huang, B–R et al. – The overall mortality rate was 52.6% in 38 haemodialysis (HD) patients. The originally identified prognostic factors were Glasgow Coma Scale score, age >=70 years, systolic blood pressure <130 or >=200 mmHg, ICH volume >=30 mL, presence of intraventricular haemorrhage and serum glucose >=8.8 mmol/L. All but one (serum glucose >=8.8 mmol/L) were subsequently found to be associated with 30–day mortality. In patients scoring 6 and 7, mortality was 100%, but in patients scoring 0, it was only 11.1%. The 30–day mortality in the validation cohort increased steadily with score and had good predictive value. Similar results in two different cohorts indicate that the ICH outcome score is a reliable outcome measure.
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