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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Intracerebral Hemorrhage in a Young Urban Population: Etiologies and Outcomes in Patients 50 and Younger
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Intracerebral Hemorrhage in a Young Urban Population: Etiologies and Outcomes in Patients 50 and Younger

机译：年轻的城市人口中的脑出血：50岁及以下患者的病因和结果

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Goal: There is limited research on intracerebral hemorrhage in young urban populations. There is reduced access to healthcare and a high prevalence of multiple comorbidities in this vulnerable population. We studied the etiologies and outcomes of spontaneous intracerebral hemorrhage in an urban North Philadelphia cohort aged 50 years old and younger. Materials and methods: A retrospective chart review of subjects 50 years old and younger who presented with spontaneous intracerebral hemorrhage at Temple University Hospital was conducted. A novel scoring system was used to classify the cause of each intracerebral hemorrhage. This system was used to assign a degree of likelihood that hypertension, amyloid angiopathy, tumor, oral anticoagulants, vascular malformations, infrequent causes, or cryptogenic etiologies were present. Aneurysmal subarachnoid hemorrhage was excluded. The prevalence of each risk factor and outcomes were analyzed. Findings: Of the 110 patients in the study, the most common etiology was hypertension (82.7%). There was no statistically significant difference in mortality between patients with multiple possible etiologies for their hemorrhage. Vascular malformations and cavernomas were rare (5.5%). Conclusions: Hypertension was the most common cause of intracerebral hemorrhage in a young urban population. The presence of multiple possible etiologies does not correlate with a worse prognosis of mortality. There is a need for further research into hemorrhagic stroke in young populations.
机译：目标：年轻城市人口中的脑内出血有限。在这种脆弱的人群中减少了医疗保健和多种合并症的高患病率。我们研究了50岁和年轻人的城市北部群城北部的自发脑出血的病因和结果。材料与方法：对寺院大学医院呈现自发脑出血的50岁及以下的审查图表审查。一种新的评分系统用于分类每种脑内出血的原因。该系统用于分配高血压，淀粉样血管病变，肿瘤，口服抗凝血剂，血管畸形，缺乏常见的原因或密加密病因存在的可能性程度。排除了动脉瘤性蛛网膜下腔出血。分析了每个危险因素和结果的患病率。结果：在研究中110名患者中，最常见的病因是高血压（82.7％）。对于其出血具有多种可能的病因的患者之间的死亡率没有统计学意义。血管畸形和海绵瘤是罕见的（5.5％）。结论：高血压是年轻城市人口中脑内出血最常见的原因。多种可能的病因的存在与死亡率的更糟糕的预后不相关。需要进一步研究年轻人种群的出血性脑卒中。

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