J Korean Neurosurg Soc.  2013 Sep;54(3):164-174. 10.3340/jkns.2013.54.3.164.

Clinical Comparison of 30-Day Mortalities and 6-Month Functional Recoveries after Spontaneous Intracerebral Hemorrhage in Patients with or without End-Stage Renal Disease

• Kim KR
• Kim YZ

• KMID: 2190893
• DOI: http://doi.org/10.3340/jkns.2013.54.3.164

Abstract

OBJECTIVE
The aim of this study was to determine 30-day mortality and 6-month functional recovery rates in spontaneous intracerebral hemorrhage (S-ICH) patients undergoing hemodialysis treatment for end-stage renal disease (ESRD), and to compare the outcomes of these patients and S-ICH patients without ESRD.
METHODS
The medical records of 1943 S-ICH patients from January 2000 to December 2011 were retrospectively analyzed with focus on demographic, radiological, and laboratory characteristics.
RESULTS
A total of 1558 supratentorial S-ICH patients were included in the present study and 102 (6.5%) were ESRD patients. The 30-day mortality of the S-ICH patients with ESRD was 53.9%, and 29.4% achieved good functional recovery at 6 months post-S-ICH. Multivariate analysis showed that age, Glasgow Coma Scale (GCS) score, pupillary abnormality, ventricular extension of hemorrhage, hemorrhagic volume, hematoma enlargement, anemia, and treatment modality were independently associated with 30-day mortality in S-ICH patients with ESRD (p<0.05), and that GCS score, volume of hemorrhage, conservative treatment, and shorter hemodialysis duration was independently associated with good functional recovery at 6 months post-S-ICH in patients with ESRD (p<0.05).
CONCLUSION
This retrospective study showed worse outcome after S-ICH in patients with ESRD than those without ESRD; 30-day mortality was four times higher and the functional recovery rate was significantly lower in S-ICH patients with ESRD than in S-ICH patients without ESRD.

Keyword

Spontaneous intracerebral hemorrhage; Mortality; Functional recovery; Hemodialysis; Predictor; End-stage renal disease

MeSH Terms

Anemia
Cerebral Hemorrhage*
Glasgow Coma Scale
Hematoma
Hemorrhage
Humans
Kidney Failure, Chronic*
Medical Records
Multivariate Analysis
Renal Dialysis
Retrospective Studies

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