Impact of Tobacco Use on 30-Day Mortality in Subjects Presenting with Spontaneous Intracerebral Hematoma: Retrospective Analysis of 335 Subjects.
Introduction: Spontaneous intracerebral hematoma (ICH) causes significant morbidity and mortality. Risk factors for early mortality still need to be clearly elucidated. This study aimed to identify factors associated with 30-day mortality, hematoma volume, and the presence of intravascular hematoma...
| Published in: | Lokman Hekim Health Sciences Vol. 3; no. 2; pp. 132 - 140 |
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| Main Authors: | , |
| Format: | research tables/charts Journal Article |
| Published: |
KARE Publishing
2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174399364&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174399364 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27917835 N1MV jtl: Lokman Hekim Health Sciences issn: 27917835 maglogo: N pubinfo: dt: 2023 vid: 3 iid: 2 pid: 62027 pub: KARE Publishing artinfo: ui: 174399364 174399364 174399364 10.14744/lhhs.2022.11001 174399364 ppf: 132 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Impact of Tobacco Use on 30-Day Mortality in Subjects Presenting with Spontaneous Intracerebral Hematoma: Retrospective Analysis of 335 Subjects. aug: au: Gülensoy, Esen Sayın Gülensoy, Bülent affil: Department of Chest Diseases, Ufuk University Faculty of Medicine, Ankara, Türkiye sug: subj: Smoking Hematoma Mortality Cerebral Hemorrhage Mortality Risk Assessment Cerebral Hemorrhage Prognosis Human Retrospective Design Record Review Male Female Middle Age Aged Non-Smokers Glasgow Coma Scale Scales Multiple Logistic Regression Odds Ratio Confidence Intervals Intensive Care Units Inpatients Disease Attributes Data Analysis Software Descriptive Statistics Unpaired T-Tests Mann-Whitney U Test Fisher's Exact Test Linear Regression Logistic Regression Multiple Linear Regression Comparative Studies Models, Statistical Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Introduction: Spontaneous intracerebral hematoma (ICH) causes significant morbidity and mortality. Risk factors for early mortality still need to be clearly elucidated. This study aimed to identify factors associated with 30-day mortality, hematoma volume, and the presence of intravascular hematoma in subjects presenting with spontaneous ICH. Methods: All consecutive subjects (>18 years) admitted to the intensive care unit between January 2013 and June 2021 with spontaneous ICH were analyzed retrospectively. Detailed systemic and neurological examinations were recorded and evaluated from files. Results: A total of 335 subjects (51.3% male, median age 68 [55-77] years) with ICH were included in the study. Of these, 230 were smokers (68.7%), 105 were nonsmokers (31.3%). Compared to nonsmokers, smokers had a lower Glasgow Coma Scale score (p=0.036), larger hematoma volume (p=0.034), higher frequency of intraventricular hematoma (p=0.013). Multiple logistic regression revealed that smokers had 2.069-fold higher risk of death than nonsmokers (OR: 2.069, 95% CI: 1.115-3.839, p=0.021). Smoking was also independently associated with the presence of intraventricular hematoma (OR: 1.669, 95% CI: 1.027-2.711, p=0.039). Discussion and Conclusion: The study showed that smokers have a 2.069-fold greater risk of 30-day mortality and a 1.669-fold higher likelihood of having intraventricular hematoma following spontaneous ICH than nonsmokers. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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