Expanding Diagnostic Workup for hypertensive Intracerebral hemorrhage: a retrospective LATAM cerebrovascular registry comparison.

Background The leading cause of spontaneous intracerebral hemorrhage (ICH) is hypertensive arteriolopathy. In addition to age and hypertension history, patients usually present other comorbidities that potentially increase morbimortality. Ancillary studies other than non-contrast computerized tomography (NCCT) may help clarify the diagnosis and increase the detection of potentially modifiable vascular risk factors. Unfortunately, their use is not routinely performed. Objective The study aimed to determine the frequency of ancillary studies performed in patients with hypertensive ICH. Methods We performed a retrospective analysis of three Latin American cerebrovascular registries from academic medical centers, analyzing the results with descriptive statistics focusing on diagnosis and short-term outcomes. Results We analyzed a total of 1,324 patients (mean age 64 years). Hypertension and obesity were the most prevalent risk factors. Only 14% underwent MRI, 10.3% extracranial ultrasonography, and 6.7% echocardiography. Among the three registries, the Latin America Stroke Registry performed more ancillary studies. Most of the patients presented a poor clinical outcome and in-hospital death. Conclusions The use of ancillary studies in the diagnostic workup of ICH was poor in the three registries, and mortality was high. The lack of ancillary studies performed may negatively impact outcomes.

• Publication year

  2024

• Venue

  Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion

• Publication date

  2024-09-23

• Fields of study

  Medicine

• Identifiers
  DOI 10.24875/RIC.24000142PMID 39312637
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Diagnostic accuracy and radiological validation of intracerebral hemorrhage diagnosis in the Swedish Stroke Register (Riksstroke)

  2024influential reference
• The essential role of neuroimaging in diagnosing and managing cerebrovascular disease in Africa: a review

  2023cited by this paper
• Echocardiography in acute stroke patients: a nationwide analysis in departments with certified stroke units in Germany

  2023influential reference
• Current Evaluation of Intracerebral Hemorrhage.

  2023cited by this paper
• A large public dataset of annotated clinical MRIs and metadata of patients with acute stroke

  2023cited by this paper
• Intracerebral haemorrhage

  2023cited by this paper
• A Causal Classification System for Intracerebral Hemorrhage Subtypes

  2022cited by this paper
• Evaluation of Intima-Media Thickness and Arterial Stiffness as Early Ultrasound Biomarkers of Carotid Artery Atherosclerosis

  2022cited by this paper
• 2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: A Guideline From the American Heart Association/American Stroke Association.

  2022cited by this paper
• Neuroimaging of Acute Intracerebral Hemorrhage

  2021cited by this paper
• Computed Tomography Imaging Predictors of Intracerebral Hemorrhage Expansion

  2021cited by this paper
• How to improve access to medical imaging in low- and middle-income countries ?

  2021influential reference
• Transcranial Doppler study in acute spontaneous intracerebral hemorrhage: The role of pulsatility index

  2021cited by this paper
• Analysis of echocardiographic characteristics in patients with acute intracerebral hemorrhage

  2021cited by this paper
• Management of Intracerebral Hemorrhage: JACC Focus Seminar.

  2020influential reference
• Association of Hypertensive Intracerebral Hemorrhage with Left Ventricular Hypertrophy on Transthoracic Echocardiography

  2020influential reference
• Sex Differences Among Participants in the Latin American Stroke Registry

  2020influential reference
• Neuroimaging of Intracerebral Hemorrhage.

  2020cited by this paper
• Cerebral Intraparenchymal Hemorrhage: A Review

  2019cited by this paper
• Progression of White Matter Injury After Intracerebral Hemorrhage: A Magnetic Resonance Imaging Study.

  2019cited by this paper
• Diffusion-Weighted Imaging Hyperintensities in Subtypes of Acute Intracerebral Hemorrhage: Meta-Analysis

  2019cited by this paper
• Magnetic Resonance Imaging Markers of Cerebral Small Vessel Disease in Hematoma Expansion of Intracerebral Hemorrhage.

  2018cited by this paper
• Spot Sign in Acute Intracerebral Hemorrhage in Magnetic Resonance Imaging: A Case Report and Review of the Literature

  2018cited by this paper
• Cerebral Venous Thrombosis.

  2017cited by this paper
• Spot Sign in Acute Intracerebral Hemorrhage in Dynamic T1-Weighted Magnetic Resonance Imaging

  2016cited by this paper
• The H-ATOMIC Criteria for the Etiologic Classification of Patients with Intracerebral Hemorrhage

  2016cited by this paper
• Diagnostic yield and accuracy of CT angiography, MR angiography, and digital subtraction angiography for detection of macrovascular causes of intracerebral haemorrhage: prospective, multicentre cohort study

  2015cited by this paper
• Diagnostic evaluation for nontraumatic intracerebral hemorrhage.

  2015cited by this paper
• Computed tomography angiography or magnetic resonance angiography for detection of intracranial vascular malformations in patients with intracerebral haemorrhage.

  2014influential reference
• Magnetic resonance imaging versus computed tomography for identification and quantification of intraventricular hemorrhage.

  2014cited by this paper
• Clinical associations of cerebral microbleeds on magnetic resonance neuroimaging.

  2014cited by this paper
• Neuroimaging in Intracerebral Hemorrhage

  2014cited by this paper
• [Cerebral venous thrombosis].

  2013cited by this paper
• A Rule to Identify Patients Who Require Magnetic Resonance Imaging After Intracerebral Hemorrhage

  2013cited by this paper
• The Ethnic/Racial Variations of Intracerebral Hemorrhage (ERICH) Study Protocol

  2013cited by this paper
• The value of magnetic resonance imaging for the detection of the bleeding source in non-traumatic intracerebral haemorrhages: a comparison with conventional digital subtraction angiography

  2012cited by this paper
• SMASH-U: A Proposal for Etiologic Classification of Intracerebral Hemorrhage

  2012cited by this paper
• Spontaneous intracerebral hemorrhage in Mexico: results from a Multicenter Nationwide Hospital-based Registry on Cerebrovascular Disease (RENAMEVASC).

  2011cited by this paper
• CT Angiography for Intracerebral Hemorrhage Does Not Increase Risk of Acute Nephropathy

  2009cited by this paper
• Grading Scale for Prediction of Outcome in Primary Intracerebral Hemorrhages

  2007cited by this paper
• Magnetic resonance angiography (MRA) of ruptured cerebral aneurysm

  2005cited by this paper
• [Intracerebral haemorrhage in a referral hospital in the central-western region of Mexico].

  2005cited by this paper
• Stroke Magnetic Resonance Imaging Is Accurate in Hyperacute Intracerebral Hemorrhage: A Multicenter Study on the Validity of Stroke Imaging

  2004cited by this paper
• Comparison of MRI and CT for detection of acute intracerebral hemorrhage.

  2004cited by this paper
• Utility of Magnetic Resonance Imaging in Acute Intracerebral Hemorrhage

  2000cited by this paper
• [Magnetic resonance angiography].

  2000cited by this paper
• MRI features of intracerebral hemorrhage within 2 hours from symptom onset.

  1999cited by this paper
• Spontaneous intracranial hemorrhage: which patients need diagnostic cerebral angiography? A prospective study of 206 cases and review of the literature.

  1997cited by this paper
• Magnetic resonance angiography.

  1996cited by this paper
• Intracerebral haemorrhage.

  1992cited by this paper

• No citing papers are available for this paper.