Serveur d'exploration sur les relations entre la France et l'Australie

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Older age is a strong predictor for poor outcome in intracerebral haemorrhage: the INTERACT2 study.

Identifieur interne : 002087 ( Ncbi/Merge ); précédent : 002086; suivant : 002088

Older age is a strong predictor for poor outcome in intracerebral haemorrhage: the INTERACT2 study.

Auteurs : Karin R Dholm [Suède] ; Hisatomi Arima [Australie] ; Richard I. Lindley [Australie] ; Jiguang Wang [République populaire de Chine] ; Christophe Tzourio [France] ; Thompson Robinson [Royaume-Uni] ; Emma Heeley [Australie] ; Craig S. Anderson [Australie] ; John Chalmers [Australie]

Source :

RBID : pubmed:25497513

Descripteurs français

English descriptors

Abstract

Global ageing contributes greatly to the burden of stroke. We investigated the influence of age on the baseline profile and on outcomes in acute intracerebral haemorrhage (ICH) among participants of the INTERACT2 study.

DOI: 10.1093/ageing/afu198
PubMed: 25497513

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pubmed:25497513

Le document en format XML

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<div type="abstract" xml:lang="en">Global ageing contributes greatly to the burden of stroke. We investigated the influence of age on the baseline profile and on outcomes in acute intracerebral haemorrhage (ICH) among participants of the INTERACT2 study.</div>
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<Title>Age and ageing</Title>
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<ArticleTitle>Older age is a strong predictor for poor outcome in intracerebral haemorrhage: the INTERACT2 study.</ArticleTitle>
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<AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">Global ageing contributes greatly to the burden of stroke. We investigated the influence of age on the baseline profile and on outcomes in acute intracerebral haemorrhage (ICH) among participants of the INTERACT2 study.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">INTERACT2 was an international, randomised controlled trial in 2839 patients with spontaneous ICH within 6 h of onset and elevated systolic blood pressure (SBP; 150-220 mmHg) who were allocated to receive intensive (target SBP <140 mmHg within 1 h) or guideline-recommended (target SBP <180 mmHg) blood pressure lowering treatment. Stroke severity was assessed with the National Institutes of Health Stroke Scale. Poor outcome was defined as death or major disability ('dependency', modified Rankin Scale scores 3-6) at 90 days. Health-related quality of life (HRQoL) was assessed with the European Quality of Life-5 Dimensions (EQ-5D) questionnaire. Associations between age and outcomes were analysed in multivariable logistic regression models.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Stroke severity increased in categories of older age (P-trend 0.002). Stroke patients over 75 years old were four times more likely to die or be disabled at 90 days than those <52 years when other confounders were accounted for (odds ratio 4.36, 95% confidence interval 3.12-6.08). Older age was also associated with decreasing HRQoL, across mobility, self-care, usual activities and depression (all P-trend <0.001), and pain or discomfort (P-trend 0.022).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In the INTERACT2 cohort, older people had more severe ICH and worse outcomes (death, major disability and HRQoL). These data will help guide clinicians manage older people with haemorrhagic stroke.</AbstractText>
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<Affiliation>The George Institute for Global Health, University of Sydney and Royal Prince Alfred Hospital, NSW, Australia.</Affiliation>
</AffiliationInfo>
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<CollectiveName>INTERACT2 Investigators</CollectiveName>
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<Month>12</Month>
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<Year>2014</Year>
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