210850

Oral anticoagulants can improve the functional outcome in survivors of spontaneous intracerebral hemorrhage.

Article

Last updated: 04 Jan 2025

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Tags

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Abstract

Abstract
Background: Intracerebral hemorrhage (ICH) accounts for 10-30% of strokes worldwide. Anticoagulation has been believed to induce ICH for a long time, however, oral anticoagulants can have beneficial impact, especially on the patient's outcome, this study demonstrates how the history of oral anticoagulant administration can affect the outcome of patients surviving spontaneous intracerebral hemorrhage.
Methods: 93 patients were included in the study.
underwent neurological examination, the size of the hematoma was calculated in Cm3 and the patients' outcome was estimated using Extended Glasgow Outcome Score (EGOS) one day after surgery, and 4 months later. The statistical analysis was conducted using the Wilcoxon signed ranks test for numeric data, and the Chi Squared test for categorical data, a Cox regression model was used to calculate the degree of correlation.
Results: Among the 92 cases included, 37 were females and 56 were males, age ranged from 18-90 years (mean= 58,26  9.62), 51 patients received anti-coagulation, while 42 did not receive anti-coagulation prior to the onset of the condition, the average size of the hematomas was 42.94 ml( 8.63), larger sizes recorded with the use of anticoagulation (mean = 43.75 7.99) than without anti-coagulation( mean= 41.98  9.36) (p.value

DOI

10.21608/pajn.2021.74625.1020

Keywords

oral anticoagulation, Intracerebral hemorrhage, Outcome

Authors

First Name

Ahmed

Last Name

Salah

MiddleName

M

Affiliation

Lecturer at Department of Neurosurgery, Faculty of Medicine, Kasr Al-Ainy Medical College, Cairo, Egypt

Email

dramsalah@kasralainy.edu.eg

City

-

Orcid

-

First Name

Mostafa

Last Name

Motawe

MiddleName

-

Affiliation

Department of Neurosurgery, Beni-Suef University, Beni-Suef, Egypt

Email

raafatneuro@med.bsu.edu.eg

City

-

Orcid

-

First Name

Ahmed

Last Name

Abdullah

MiddleName

-

Affiliation

Department of Neurosurgery, Kasr Al Ainy School of Medicine, Cairo University

Email

ahmedarahman@kasralainy.edu.eg

City

-

Orcid

-

Volume

16

Article Issue

2

Related Issue

29649

Issue Date

2021-12-01

Receive Date

2021-04-30

Publish Date

2021-12-01

Page Start

64

Page End

70

Print ISSN

1319-6995

Online ISSN

2735-4482

Link

https://pajn.journals.ekb.eg/article_210850.html

Detail API

https://pajn.journals.ekb.eg/service?article_code=210850

Order

6

Type

Original Articles

Type Code

1,544

Publication Type

Journal

Publication Title

Pan Arab Journal of Neurosurgery

Publication Link

https://pajn.journals.ekb.eg/

MainTitle

Oral anticoagulants can improve the functional outcome in survivors of spontaneous intracerebral hemorrhage.

Details

Type

Article

Created At

23 Jan 2023