Association between blood pressure and acute phase stroke case fatality rate: a prospective cohort study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2018 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/0004-282X20180059 http://hdl.handle.net/11449/166256 |
Resumo: | Objective: ed to investigate the association between blood pressure and acute phase stroke lethality in a Brazilian intensive care unit. Methods: This was an observational, prospective cohort study of hemorrhagic and ischemic stroke intensive care patients. The primary outcome was all-cause mortality during the first seven days. Results: There were 146 patients, aged 66 +/- 13.4 years, 56% men, 89% Caucasian, 69% had ischemic stroke, and 80% were hypertensive. The median of the National Institutes of Health Stroke Scale score was 16. There were 101 ischemic stroke patients and 45 hemorrhagic stroke patients. In the ischemic stroke patients, logistic regression analysis identified low systolic blood pressure as an independent ominous prognostic factor and the optimal cut off was a mean of systolic blood pressure <= 131 mmHg during the first 48 hours from admission for prediction of death. No association was found for hemorrhagic stroke. Conclusions: There was a negative association between systolic blood pressure and case fatality ratio of acute phase stroke in ischemic stroke intensive care patients. |
id |
UNSP_4549d340d51e5300267bce5daf074fb8 |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/166256 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Association between blood pressure and acute phase stroke case fatality rate: a prospective cohort studystrokeblood pressurehypertensionObjective: ed to investigate the association between blood pressure and acute phase stroke lethality in a Brazilian intensive care unit. Methods: This was an observational, prospective cohort study of hemorrhagic and ischemic stroke intensive care patients. The primary outcome was all-cause mortality during the first seven days. Results: There were 146 patients, aged 66 +/- 13.4 years, 56% men, 89% Caucasian, 69% had ischemic stroke, and 80% were hypertensive. The median of the National Institutes of Health Stroke Scale score was 16. There were 101 ischemic stroke patients and 45 hemorrhagic stroke patients. In the ischemic stroke patients, logistic regression analysis identified low systolic blood pressure as an independent ominous prognostic factor and the optimal cut off was a mean of systolic blood pressure <= 131 mmHg during the first 48 hours from admission for prediction of death. No association was found for hemorrhagic stroke. Conclusions: There was a negative association between systolic blood pressure and case fatality ratio of acute phase stroke in ischemic stroke intensive care patients.Univ Estadual Paulista, Fac Med, Botucatu, SP, BrazilServ Nacl Aprendizagem Comercial, Botucatu, SP, BrazilUniv Estadual Paulista, Fac Med, Botucatu, SP, BrazilAssoc Arquivos Neuro- PsiquiatriaUniversidade Estadual Paulista (Unesp)Serv Nacl Aprendizagem ComercialFurlan, Natalia Eduarda [UNESP]Zanati Bazan, Silmeia Garcia [UNESP]Braga, Gabriel Pereira [UNESP]Novelli e Castro, Meire Cristina [UNESP]Silva Franco, Roberto Jorge da [UNESP]Gut, Ana Lucia [UNESP]Bazan, Rodrigo [UNESP]Martin, Luis Cuadrado [UNESP]2018-11-29T23:05:22Z2018-11-29T23:05:22Z2018-07-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article436-443application/pdfhttp://dx.doi.org/10.1590/0004-282X20180059Arquivos De Neuro-psiquiatria. Sao Paulo Sp: Assoc Arquivos Neuro- Psiquiatria, v. 76, n. 7, p. 436-443, 2018.0004-282Xhttp://hdl.handle.net/11449/16625610.1590/0004-282X20180059S0004-282X2018000700436WOS:000439865200003S0004-282X2018000700436.pdf4923203168446615Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengArquivos De Neuro-psiquiatriainfo:eu-repo/semantics/openAccess2024-08-16T15:46:15Zoai:repositorio.unesp.br:11449/166256Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T15:46:15Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Association between blood pressure and acute phase stroke case fatality rate: a prospective cohort study |
title |
Association between blood pressure and acute phase stroke case fatality rate: a prospective cohort study |
spellingShingle |
Association between blood pressure and acute phase stroke case fatality rate: a prospective cohort study Furlan, Natalia Eduarda [UNESP] stroke blood pressure hypertension |
title_short |
Association between blood pressure and acute phase stroke case fatality rate: a prospective cohort study |
title_full |
Association between blood pressure and acute phase stroke case fatality rate: a prospective cohort study |
title_fullStr |
Association between blood pressure and acute phase stroke case fatality rate: a prospective cohort study |
title_full_unstemmed |
Association between blood pressure and acute phase stroke case fatality rate: a prospective cohort study |
title_sort |
Association between blood pressure and acute phase stroke case fatality rate: a prospective cohort study |
author |
Furlan, Natalia Eduarda [UNESP] |
author_facet |
Furlan, Natalia Eduarda [UNESP] Zanati Bazan, Silmeia Garcia [UNESP] Braga, Gabriel Pereira [UNESP] Novelli e Castro, Meire Cristina [UNESP] Silva Franco, Roberto Jorge da [UNESP] Gut, Ana Lucia [UNESP] Bazan, Rodrigo [UNESP] Martin, Luis Cuadrado [UNESP] |
author_role |
author |
author2 |
Zanati Bazan, Silmeia Garcia [UNESP] Braga, Gabriel Pereira [UNESP] Novelli e Castro, Meire Cristina [UNESP] Silva Franco, Roberto Jorge da [UNESP] Gut, Ana Lucia [UNESP] Bazan, Rodrigo [UNESP] Martin, Luis Cuadrado [UNESP] |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Serv Nacl Aprendizagem Comercial |
dc.contributor.author.fl_str_mv |
Furlan, Natalia Eduarda [UNESP] Zanati Bazan, Silmeia Garcia [UNESP] Braga, Gabriel Pereira [UNESP] Novelli e Castro, Meire Cristina [UNESP] Silva Franco, Roberto Jorge da [UNESP] Gut, Ana Lucia [UNESP] Bazan, Rodrigo [UNESP] Martin, Luis Cuadrado [UNESP] |
dc.subject.por.fl_str_mv |
stroke blood pressure hypertension |
topic |
stroke blood pressure hypertension |
description |
Objective: ed to investigate the association between blood pressure and acute phase stroke lethality in a Brazilian intensive care unit. Methods: This was an observational, prospective cohort study of hemorrhagic and ischemic stroke intensive care patients. The primary outcome was all-cause mortality during the first seven days. Results: There were 146 patients, aged 66 +/- 13.4 years, 56% men, 89% Caucasian, 69% had ischemic stroke, and 80% were hypertensive. The median of the National Institutes of Health Stroke Scale score was 16. There were 101 ischemic stroke patients and 45 hemorrhagic stroke patients. In the ischemic stroke patients, logistic regression analysis identified low systolic blood pressure as an independent ominous prognostic factor and the optimal cut off was a mean of systolic blood pressure <= 131 mmHg during the first 48 hours from admission for prediction of death. No association was found for hemorrhagic stroke. Conclusions: There was a negative association between systolic blood pressure and case fatality ratio of acute phase stroke in ischemic stroke intensive care patients. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-11-29T23:05:22Z 2018-11-29T23:05:22Z 2018-07-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/0004-282X20180059 Arquivos De Neuro-psiquiatria. Sao Paulo Sp: Assoc Arquivos Neuro- Psiquiatria, v. 76, n. 7, p. 436-443, 2018. 0004-282X http://hdl.handle.net/11449/166256 10.1590/0004-282X20180059 S0004-282X2018000700436 WOS:000439865200003 S0004-282X2018000700436.pdf 4923203168446615 |
url |
http://dx.doi.org/10.1590/0004-282X20180059 http://hdl.handle.net/11449/166256 |
identifier_str_mv |
Arquivos De Neuro-psiquiatria. Sao Paulo Sp: Assoc Arquivos Neuro- Psiquiatria, v. 76, n. 7, p. 436-443, 2018. 0004-282X 10.1590/0004-282X20180059 S0004-282X2018000700436 WOS:000439865200003 S0004-282X2018000700436.pdf 4923203168446615 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Arquivos De Neuro-psiquiatria |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
436-443 application/pdf |
dc.publisher.none.fl_str_mv |
Assoc Arquivos Neuro- Psiquiatria |
publisher.none.fl_str_mv |
Assoc Arquivos Neuro- Psiquiatria |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128196299718656 |