000			nab a22 7a 4500
999			_c17450 _d17450
003			PC17450
005			20230512133112.0
008			230512b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_92944 _aCepeda Chafla, Santiago _eNeurocirugía
100			_91018 _aGómez López, Pedro Antonio _eNeurocirugía
100			_92069 _aCastaño León, Ana María _eNeurocirugía
100			_91759 _aMartinez Perez, Rafael _eNeurocirugía
100			_91761 _aMartín Munárriz, Pablo _eNeurocirugía
100			_91756 _aLagares Gómez-Abascal, Alfonso _b _eNeurocirugía
245	0	0	_aTraumatic Intracerebral Hemorrhage: Risk Factors Associated with Progression. _h[artículo]
260			_bJournal of neurotrauma, _c2015
300			_a32(16):1246-53.
500			_aFormato Vancouver: Cepeda S, Gómez PA, Castaño León AM, Martínez Pérez R, Munarriz PM, Lagares A. Traumatic Intracerebral Hemorrhage: Risk Factors Associated with Progression. J Neurotrauma. 2015 Aug 15;32(16):1246-53.
501			_aPMID: 25752340
504			_aContiene 44 referencias
520			_aThe increase in the volume of a traumatic intracerebral hemorrhage (TICH) is a widely studied phenomenon that has a direct impact on the prognosis of patients. The objective of this study was to identify the risk factors associated with the progression of TICH. We retrospectively analyzed the records of 1970 adult patients >15 years of age who were consecutively admitted after sustaining a closed severe traumatic brain injury (TBI) between January 1987 and November 2013 at a single center. Beginning in 2007, patients with moderate TBIs were also included. A total of 782 patients exhibited one or more TICH on the initial CT scan, and met the selection criteria. The main outcome variable was the presence or absence of progression of the TICH. Univariate and multivariate statistical analyses were performed. Factors independently associated with the growth of TICH obtained through logistic regression included the following: an initial volume <5 cc (odds ratio [OR] 2.42, p<0.001), cisternal compression (OR 1.95, p<0.001), decompressive craniectomy (OR 2.18, p<0.001), age (mean 37.67 vs. 42.95 years; OR 1.01, p<0.001), falls as mechanism of trauma (OR 1.72, p=0.001), multiple TICHs (OR 1.56, p=0.007), and hypoxia (OR 1.56, p=0.02). TICH progression occurred with a frequency of 63% in our study. We showed that there was a correlation between TICH growth and some variables, such as multiple TICHs, a lower initial volume, acute subdural hematoma, cisternal compression, older patient age, hypoxia, falls, and decompressive craniectomy.
710			_9312 _aServicio de Neurocirugía
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17450.pdf _ySolicitar documento
942			_2ddc _cART _n0