Risk factors for and outcomes of heatstroke-related intracerebral hemorrhage
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Le résumé fourni par la source
Some patients with heatstroke also experience intracerebral hemorrhage (ICH). However, clinical case reports of heatstroke-induced ICH are rare. The risk factors for cerebral hemorrhage after heatstroke remain unknown. The present study evaluated the clinical characteristics and risk factors of patients with heatstroke-related ICH. In this retrospective observational study, we collected data on all ICHs after heatstroke occurred between 2012 and 2022. The characteristics of patients with heatstroke-induced ICH were described. The risk factors for cerebral hemorrhage after heatstroke were examined using logistic regression analysis. In total, 177 patients were included in this study, and 11 patients with ICH secondary to heatstroke were identified. Variables with P values of <.05 in univariate models, comparing the cerebral hemorrhage and control groups, included heatstroke cause, temperature, heart rate, respiratory rate, vasopressor use, mechanical ventilation use, Acute Physiology and Chronic Health Evaluation II, total bilirubin, creatinine, platelet count, prothrombin time, procalcitonin, creatine kinase, disseminated intravascular coagulation (DIC) occurrence, and DIC score. Multivariate logistic regression showed that heatstroke patients with higher DIC scores (odds ratio, 18.402, 95% confidence interval, 1.384-244.763, P = .027) and higher creatine kinase levels (odds ratio, 1.021, 95% confidence interval, 1.002-1.041, P = .033) were at a higher risk of developing ICH. The death rate was higher in the cerebral hemorrhage group than in the control group (P = .042). Heatstroke-related cerebral hemorrhage may be associated with elevated creatinine levels and DIC severity (International Society on Thrombosis and Hemostasis score) after heatstroke, and heatstroke with cerebral hemorrhage may accelerate death.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Risk factors for and outcomes of heatstroke-related intracerebral hemorrhage
- Date Crossref
- 19/04/2024
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Third Affiliated Hospital of Southern Medical University pays non établi dans la noticeÉtablissement de santé
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Southern Medical University pays non établi dans la noticeUniversité ou école supérieure
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General Hospital of Southern Theatre Command of PLA Department of Critical Care Medicine pays non établi dans la noticeÉtablissement de santé
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The First School of Clinical Medicine pays non établi dans la noticeUniversité ou école supérieure
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103:16(e37739) pays non établi dans la noticeInstitution
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How to cite this article: Lin G pays non établi dans la noticeInstitution
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Written informed consent was obtained from all study participants or their families on their behalf. The retrospective study design was approved by the institutional ethics review board pays non établi dans la noticeStructure de recherche
Third Affiliated Hospital of Southern Medical University, Southern Medical University et Department of Critical Care Medicine — General Hospital of Southern Theatre Command of PLA, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.