Abstract
Objective: This study aimed to assess the association between neck circumference (NC) and functional outcome in intracerebral hemorrhage (ICH) patients.Methods: We prospectively analyzed data from ICH patients who received treatment at our institution from January 2018 to November 2019. Patients were categorized into two groups according to 180-day modified Rankin scale (MRS) scores. Univariate and multivariate analyses were performed to assess whether NC was associated with poor outcome in ICH patients. Receiver operating characteristic (ROC) curve analysis was performed to determine the significance of NC in predicting the functional outcome of ICH patients.Results: A total of 312 patients were enrolled in our study. Multivariate logistic regression analysis indicated that NC was an independent predictor of poor 180-day functional outcome [odds ratio (OR) = 1.205, 95% confidence interval (CI): 1.075–1.350, p = 0.001]. ROC analysis revealed that NC could predict poor functional outcome at 6 months.Conclusions: NC is an independent predictor of unfavorable functional outcome at 6 months in ICH patients.
Highlights
Spontaneous intracerebral hemorrhage (ICH) is a devastating health event accounting for 10–15% of all strokes [1, 2] and has characteristics of high mortality and morbidity and limited treatment options [3]
Some variables were classed as follows: Glasgow Coma Scale (GCS) score as “13–15 points,” “9–12 points,” and “3–8 points”; and hematoma location as “lobe,” “basal ganglia,” “thalamus,” “cerebellum,” and “brainstem.” Receiver operating characteristic (ROC) analysis was performed to indicate the predictive value of neck circumference (NC) for the functional outcome of ICH patients
The multivariate analysis indicated that higher NC (OR = 1.205, 95% confidence interval (CI): 1.075–1.350, p = 0.001), lower Body mass index (BMI) (OR = 0.829, 95% CI: 0.722–0.953, p = 0.009), GCS 9–12 points (OR = 4.139, 95% CI: 1.912–8.960, p < 0.001), GCS 3–8 points (OR = 57.537, 95% CI: 15.725–210.526, p < 0.001), larger hematoma size (OR = 1.062, 95% CI: 1.034–1.092, p < 0.001), basal ganglia hemorrhage (OR = 6.300, 95% CI: 2.285– 17.375, p < 0.001), and brainstem hemorrhage (OR = 16.223, 95% CI: 3.226–81.572, p = 0.001) were significantly correlated with poor functional outcome at 6 months (Table 2)
Summary
We prospectively analyzed data from ICH patients who received treatment at our institution from January 2018 to November 2019. Patients were categorized into two groups according to 180-day modified Rankin scale (MRS) scores. Univariate and multivariate analyses were performed to assess whether NC was associated with poor outcome in ICH patients. Receiver operating characteristic (ROC) curve analysis was performed to determine the significance of NC in predicting the functional outcome of ICH patients
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