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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Baseline factors associated with early and late death in intracerebral haemorrhage survivors
AU - Banerjee, G.
AU - Ambler, G.
AU - Hostettler, I. C.
AU - Shakeshaft, C.
AU - Lunawat, S.
AU - Cohen, H.
AU - Yousry, T.
AU - Al-Shahi Salman, R.
AU - Lip, G. Y.H.
AU - Houlden, H.
AU - Muir, K. W.
AU - Jäger, H. R.
AU - Werring, D. J.
AU - Shaw, Louise
AU - Harkness, Kirsty
AU - Sword, Jane
AU - Mohd Nor, Azlisham
AU - Sharma, Pankaj
AU - Kelly, Deborah
AU - Harrington, Frances
AU - Randall, Marc
AU - Smith, Matthew
AU - Mahawish, Karim
AU - Elmarim, Abduelbaset
AU - Esisi, Bernard
AU - Cullen, Claire
AU - Nallasivam, Arumug
AU - Price, Christopher
AU - Barry, Adrian
AU - Roffe, Christine
AU - Coyle, John
AU - Hassan, Ahamad
AU - Lovelock, Caroline
AU - Birns, Jonathan
AU - Cohen, David
AU - Sekaran, L.
AU - Parry-Jones, Adrian
AU - Parry, Anthea
AU - Hargroves, David
AU - Proschel, Harald
AU - Datta, Prabel
AU - Darawil, Khaled
AU - Manoj, Aravindakshan
AU - Burn, Mathew
AU - Patterson, Chris
AU - Giallombardo, Elio
AU - Smyth, Nigel
AU - Mansoor, Syed
AU - Anwar, Ijaz
AU - Marsh, Rachel
AU - Ispoglou, Sissi
AU - Chadha, Dinesh
AU - Prabhakaran, Mathuri
AU - Meenakishundaram, Sanjeevikumar
AU - O'Connell, Janice
AU - Scott, Jon
AU - Krishnamurthy, Vinodh
AU - Aghoram, Prasanna
AU - McCormick, Michael
AU - O’Mahony, Paul
AU - Cooper, Martin
AU - Choy, Lillian
AU - Wilkinson, Peter
AU - Leach, Simon
AU - Caine, Sarah
AU - Burger, Ilse
AU - Gunathilagan, Gunaratam
AU - Guyler, Paul
AU - Emsley, Hedley
AU - Davis, Michelle
AU - Manawadu, Dulka
AU - Pasco, Kath
AU - Mamun, Maam
AU - Luder, Robert
AU - Sajid, Mahmud
AU - Anwar, Ijaz
AU - Okwera, James
AU - Staals, Julie
AU - Warburton, Elizabeth
AU - Saastamoinen, Kari
AU - England, Timothy
AU - Putterill, Janet
AU - Flossman, Enrico
AU - Power, Michael
AU - Dani, Krishna
AU - Mangion, David
AU - Suman, Appu
AU - Corrigan, John
AU - Lawrence, Enas
AU - Vahidassr, Djamil
PY - 2020/7/1
Y1 - 2020/7/1
N2 - Background and purpose: The aim of this study was to determine whether early and late death are associated with different baseline factors in intracerebral haemorrhage (ICH) survivors. Methods: This was a secondary analysis of the multicentre prospective observational CROMIS-2 ICH study. Death was defined as ‘early’ if occurring within 6 months of study entry and ‘late’ if occurring after this time point. Results: In our cohort (n = 1094), there were 306 deaths (per 100 patient-years: absolute event rate, 11.7; 95% confidence intervals, 10.5–13.1); 156 were ‘early’ and 150 ‘late’. In multivariable analyses, early death was independently associated with age [per year increase; hazard ratio (HR), 1.05, P = 0.003], history of hypertension (HR, 1.89, P = 0.038), pre-event modified Rankin scale score (per point increase; HR, 1.41, P < 0.0001), admission National Institutes of Health Stroke Scale score (per point increase; HR, 1.11, P < 0.0001) and haemorrhage volume >60 mL (HR, 4.08, P < 0.0001). Late death showed independent associations with age (per year increase; HR, 1.04, P = 0.003), pre-event modified Rankin scale score (per point increase; HR, 1.42, P = 0.001), prior anticoagulant use (HR, 2.13, P = 0.028) and the presence of intraventricular extension (HR, 1.73, P = 0.033) in multivariable analyses. In further analyses where time was treated as continuous (rather than dichotomized), the HR of previous cerebral ischaemic events increased with time, whereas HRs for Glasgow Coma Scale score, National Institutes of Health Stroke Scale score and ICH volume decreased over time. Conclusions: We provide new evidence that not all baseline factors associated with early mortality after ICH are associated with mortality after 6 months and that the effects of baseline variables change over time. Our findings could help design better prognostic scores for later death after ICH.
AB - Background and purpose: The aim of this study was to determine whether early and late death are associated with different baseline factors in intracerebral haemorrhage (ICH) survivors. Methods: This was a secondary analysis of the multicentre prospective observational CROMIS-2 ICH study. Death was defined as ‘early’ if occurring within 6 months of study entry and ‘late’ if occurring after this time point. Results: In our cohort (n = 1094), there were 306 deaths (per 100 patient-years: absolute event rate, 11.7; 95% confidence intervals, 10.5–13.1); 156 were ‘early’ and 150 ‘late’. In multivariable analyses, early death was independently associated with age [per year increase; hazard ratio (HR), 1.05, P = 0.003], history of hypertension (HR, 1.89, P = 0.038), pre-event modified Rankin scale score (per point increase; HR, 1.41, P < 0.0001), admission National Institutes of Health Stroke Scale score (per point increase; HR, 1.11, P < 0.0001) and haemorrhage volume >60 mL (HR, 4.08, P < 0.0001). Late death showed independent associations with age (per year increase; HR, 1.04, P = 0.003), pre-event modified Rankin scale score (per point increase; HR, 1.42, P = 0.001), prior anticoagulant use (HR, 2.13, P = 0.028) and the presence of intraventricular extension (HR, 1.73, P = 0.033) in multivariable analyses. In further analyses where time was treated as continuous (rather than dichotomized), the HR of previous cerebral ischaemic events increased with time, whereas HRs for Glasgow Coma Scale score, National Institutes of Health Stroke Scale score and ICH volume decreased over time. Conclusions: We provide new evidence that not all baseline factors associated with early mortality after ICH are associated with mortality after 6 months and that the effects of baseline variables change over time. Our findings could help design better prognostic scores for later death after ICH.
KW - intracerebral haemorrhage
KW - mortality
KW - prognosis
U2 - 10.1111/ene.14238
DO - 10.1111/ene.14238
M3 - Journal article
C2 - 32223078
AN - SCOPUS:85084219545
VL - 27
SP - 1257
EP - 1263
JO - European Journal of Neurology
JF - European Journal of Neurology
SN - 1351-5101
IS - 7
ER -