Author, as appears in the article.: Lorman-Carbo, Blanca; Clua-Espuny, Josep Lluis; Muria-Subirats, Eulalia; Ballesta-Ors, Juan; Gonzalez-Henares, Maria Antonia; Palleja-Millan, Meritxell; Martin-Lujan, Francisco M
Department: Bioquímica i Biotecnologia
URV's Author/s: Ballesta Ors, Juan / Lorman Carbó, Blanca / Martín Lujan, Francisco Manuel
Keywords: Retrospective studies Primary health care Multimorbidity Morbidity Intracranial hemorrhage Humans Cohort studies Chronicity Cerebral hemorrhage Cerebral haemorrhage Aged, 80 and over Aged trends risk-factors primary health care prevention people multimorbidity management ischemic-stroke guidelines disease chronicity atrial-fibrillation
Abstract: Background: Intracerebral haemorrhage rates are increasing among highly complex, elderly patients. The main objective of this study was to identify modifiable risk factors of intracerebral haemorrhage. Methods: Multicentre, retrospective, community-based cohort study was conducted, including patients in the Adjusted Morbidity Group 4 with no history of intracerebral haemorrhage. Cases were obtained from electronic clinical records of the Catalan Institute of Health and were followed up for five years. The primary outcome was the occurrence of intracerebral haemorrhage during the study period. Demographic, clinical and pharmacological variables were included. Logistic regression analyses were carried out to detect prognostic variables for intracerebral haemorrhage. Results: 4,686 subjects were included; 170 (3.6%) suffered an intracerebral haemorrhage (85.8/10,000 person–year [95% CI 85.4 to 86.2]). The HAS-BLED score for intracerebral haemorrhage risk detection obtained the best AUC (0.7) when used in the highest complexity level (cut-off point ?3). Associated independent risk factors were age ?80 years, high complexity and use of antiplatelet agents. Conclusions: The Adjusted Morbidity Group 4 is associated with a high risk of intracerebral haemorrhage, particularly for highly complex patients and the use of antiplatelet agents. The risk of bleeding in these patients must be closely monitored. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Thematic Areas: Zootecnia / recursos pesqueiros Serviço social Saúde coletiva Química Public, environmental & occupational health Public health, environmental and occupational health Psicología Pollution Odontología Nutrição Medicina iii Medicina ii Medicina i Materiais Interdisciplinar Health, toxicology and mutagenesis Geografía Geociências Farmacia Environmental studies Environmental sciences Ensino Engenharias ii Engenharias i Enfermagem Educação física Educação Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência da computação Biotecnología Biodiversidade Astronomia / física Administração pública e de empresas, ciências contábeis e turismo
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: paco.martin@urv.cat blanca.lorman@estudiants.urv.cat
Author identifier: 0000-0003-0359-3588
Record's date: 2024-06-22
Papper version: info:eu-repo/semantics/publishedVersion
Link to the original source: https://www.mdpi.com/1660-4601/18/24/13320
Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: International Journal Of Environmental Research And Public Health. 18 (24): 13320-
APA: Lorman-Carbo, Blanca; Clua-Espuny, Josep Lluis; Muria-Subirats, Eulalia; Ballesta-Ors, Juan; Gonzalez-Henares, Maria Antonia; Palleja-Millan, Meritxel (2021). Adjusted morbidity groups and intracerebral haemorrhage: A retrospective primary care cohort study. International Journal Of Environmental Research And Public Health, 18(24), 13320-. DOI: 10.3390/ijerph182413320
Article's DOI: 10.3390/ijerph182413320
Entity: Universitat Rovira i Virgili
Journal publication year: 2021
Publication Type: Journal Publications
Repositori URV