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    Home > Active Ingredient News > Study of Nervous System > STROKE: Prehospital Mobile Stroke Unit study, intracerebral hemorrhage hematoma expansion is more frequent within the first 2 hours

    STROKE: Prehospital Mobile Stroke Unit study, intracerebral hemorrhage hematoma expansion is more frequent within the first 2 hours

    • Last Update: 2022-05-24
    • Source: Internet
    • Author: User
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    Hematoma expansion (HE) after intracerebral hemorrhage (ICH) is a therapeutic goal to improve outcomes


    Hematoma expansion (HE) after intracerebral hemorrhage (ICH) is a therapeutic goal to improve outcomes


    Recently, experts from the Department of Neurology at the McGovern School of Medicine at the University of Texas Health Science Center conducted a study of patients with spontaneous ICH within 4 hours of symptom onset between May 2014 and April 2020.


    CT scans at baseline <1 hour, 1-2 hours, and 2-4 hours after symptom onset obtained from the prehospital mobile stroke unit were compared with CT scans repeated in the hospital after 1 hour and 24 hours later


    CT scans at baseline <1 hour, 1-2 hours, and 2-4 hours after symptom onset obtained from the prehospital mobile stroke unit were compared with CT scans repeated in the hospital after 1 hour and 24 hours later


    139 patients were included


    However, initial hematoma growth (volume/time to onset) was greater at earlier baseline scans (17 ml/h [9-35] vs 9 ml/h [5-23]) vs 4 over the same 3 time periods ml/h [2-7]; P<0.


    Eight patients (16%) developed HE during this 1-hour interval; all of these occurred in patients with baseline imaging within 2 hours of onset (5/18 = 28% of patients with baseline imaging within 1 hour, 3/18=17% within 1-2 hours, 0/13=0% over 2 hours; P=0.


    Eight patients (16%) developed HE during this 1-hour interval; all of these occurred in patients with baseline imaging within 2 hours of onset (5/18 = 28% of patients with baseline imaging within 1 hour, 3/18=17% within 1-2 hours, 0/13=0% over 2 hours; P=0.


    Twenty-eight percent of patients with ICH had baseline imaging within the first hour of symptom onset, and 17% had baseline imaging within 1-2 hours and HE developed within the next hour


    references:

    references:

    Hemorrhage Enlargement Is More Frequent in the First 2 Hours: A Prehospital Mobile Stroke Unit Study.


    Hemorrhage Enlargement Is More Frequent in the First 2 Hours: A Prehospital Mobile Stroke Unit Study.
    https://doi.
    org/10.
    1161/STROKEAHA.
    121.
    037591.
    Stroke.
    2022;0:STROKEAHA.
    121.
    037591 Hemorrhage Enlargement Is More Frequent in the First 2 Hours: A Prehospital Mobile Stroke Unit Study.


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