Is nontraumatic intracerebral hemorrhage different between young and elderly patients?
Only a few studies have reported nontraumatic intracerebral hemorrhage in young patients notwithstanding its fatal and devastating characteristics. This study investigated the clinical characteristics and outcome of nontraumatic intracerebral hemorrhage in young patients in comparison to those of the elderly. A retrospective review of consecutive patients admitted at the department of neurosurgery of two tertiary care medical centers presenting with first-ever nontraumatic intracerebral hemorrhage was performed. We identified and compared the demographics, etiologies, risk factors, and laboratory, radiological, and clinical findings between elderly and young patients. Additionally, logistic regression analyses of independent prognostic factors associated with 1-month mortality and favorable functional outcome were performed. Altogether, 247 patients including 69 young patients and 178 elderly patients were enrolled. On multivariate analysis, young patients exhibited significantly more often an infratentorial hematoma location, excessive alcohol consumption, and high body mass index (BMI), but less frequent systemic hypertension. There was no statistical difference between the two groups in 1-month mortality (17.46% and 18.01% for young and elderly patients, respectively), but the favorable functional outcome based on modified Rankin scale score of 0 or 1 was significantly different between the two groups (favorable outcome in 51.79% and 29.93% of patients, respectively). Predictors of 1-month mortality was the presence of herniation in the young group, and lower Glasgow Coma Scale score, renal or heart disease, and leukocytosis (WBC > 10,000) in the elderly group. Lower National Institutes Health Stroke Scale score was associated with favorable functional outcome in both groups. Nontraumatic intracerebral hemorrhage in younger patients appears to be associated with excessive alcohol consumption and high BMI. Younger patients had similar short-term mortality but more favorable functional outcome than the elderly.
['Yang|Na Rae|NR|', 'Kim|Ji Hee|JH|http://orcid.org/0000-0001-6937-8093', 'Ahn|Jun Hyong|JH|', 'Oh|Jae Keun|JK|', 'Chang|In Bok|IB|', 'Song|Joon Ho|JH|']
D000328:Adult D000367:Age Factors D000368:Aged D000369:Aged, 80 and over D002543:Cerebral Hemorrhage D005260:Female D015600:Glasgow Coma Scale D006801:Humans D008297:Male D008875:Middle Aged D015999:Multivariate Analysis D011379:Prognosis D011859:Radiography D012189:Retrospective Studies D012307:Risk Factors D015996:Survival Rate
Intracerebral hemorrhage Young patients Outcome Risk factor Mortality Predictor