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Stroke Research and Treatment - Volume 2015 2015, Article ID 357696, 7 pages -

Research Article

Department of Neurology, Helsinki University Central Hospital, Haartmaninkatu 4, P.O. Box 340, 00290 Helsinki, Finland

Department of Neurosurgery, Helsinki University Central Hospital, 00290 Helsinki, Finland

Received 29 November 2014; Revised 19 January 2015; Accepted 20 January 2015

Academic Editor: David S. Liebeskind

Copyright © 2015 Riku-Jaakko Koivunen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Frequency and impact of medical complications on short-term mortality in young patients with intracerebral hemorrhage ICH have gone unstudied. Methods. We reviewed data of all first-ever nontraumatic ICH patients between 16 and 49 years of age treated in our hospital between January 2000 and March 2010 to identify medical complications suffered. Logistic regression adjusted for known ICH prognosticators was used to identify medical complications associated with mortality. Results. Among the 325 eligible patients 59% males, median age 42 interquartile range 34–47 years, infections were discovered in 90 28%, venous thrombotic events in 13 4%, cardiac complications in 4 1%, renal failure in 59 18%, hypoglycemia in 15 5%, hyperglycemia in 165 51%, hyponatremia in 146 45%, hypernatremia in 91 28%, hypopotassemia in 104 32%, and hyperpotassemia in 27 8%. Adjusted for known ICH prognosticators and diabetes, the only independent complication associated with 3-month mortality was hyperglycemia plasma glucose >8.0 mmol-L odds ratio: 5.90, 95% confidence interval: 2.25–15.48, . Three or more separate complications suffered also associated with increased mortality 7.76, 1.42–42.49, . Conclusions. Hyperglycemia is a frequent complication of ICH in young adults and is independently associated with increased mortality. However, multiple separate complications increase mortality even further.

Autor: Riku-Jaakko Koivunen, Elena Haapaniemi, Jarno Satopää, Mika Niemelä, Turgut Tatlisumak, and Jukka Putaala



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