CT imaging for long-term functional outcome after spontaneous intracerebral haemorrhage: A 3-year follow-up study.
OBJECTIVE
To define the prognostic value of head computed tomography (CT) in patients suffering from SICH after 3 years of follow-up.


METHODS
Between January 2011 and May 2012, consecutive patients with SICH who underwent brain CT scans within the first 12 hours of presentation were prospectively included. Independent predictors of 30-day mortality and unfavourable functional outcome (modified Rankin Scale = 4-6 and Barthel Index ≤ 60) at 36 months were identified by univariable and multivariable regression analysis.


RESULTS
A total of 228 participants were identified. According to multivariable analysis, independent CT-related predictors for 30-day mortality were intraventricular haemorrhage [IVH] (OR = 2.42; p = 0.009), haematoma volume ≥ 30 cm3(OR = 3.32; p = 0.006), the presence of midline shift (OR = 3.77; p = 0.004) and hydrocephalus (OR = 5.22; p = 0.001). Further, IVH (OR = 3.72, 95% CI = 1.16-11.8, p = 0.026), volume of haemorrhage ≥ 30 cm3(OR = 3.96; 95% CI = 1.65-5.84; p = 0.015) and midline shift (OR = 6.58; 95% CI = 1.33-32.4; p = 0.021) had significant associations with an mRS ≥ 4 at 36 months.


CONCLUSIONS
A favourable long-term functional outcome at 36 months and short-term survival were less likely in patients with greater volume of haematoma, presence of IVH and midline displacement.
a School of Medicine.|b Student Research Committee, Shahid Beheshti University of Medical Sciences , Tehran , Iran.
Shadi
S
Asadollahi
c Department of Emergency Medicine , Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences , Tehran , Iran.
Ali
A
Vafaei
c Department of Emergency Medicine , Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences , Tehran , Iran.
Kamran
K
Heidari
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000401:mortality / Q000503:physiopathology; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007492:Iran / Q000453:epidemiology; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D017063:Outcome Assessment, Health Care; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods*
Cerebral haemorrhage; computed tomography; disability evaluation; follow-up studies; multidetector; prognosis