Traumatic brain injury | intracranial hemorrhage icd 10[/caption]
intracranial hemorrhage icd 10
Flaherty ML ; Haverbusch M ; Sekar P ; Kissela BM ; Kleindorfer D ; Moomaw CJ ; Broderick JP ; Woo D
BACKGROUND: The characteristics of patients with anticoagulant-associated intracerebral drain (AAICH) accept not been able-bodied characterized in a population-based setting.
METHODS: We attempted to ascertain all patients with ICH in Greater Cincinnati from May 1998 to July 2001 and August 2002 to April 2003 via attendant assay of ICD-9 codes 430-438.9 at all breadth hospitals and -to-be surveillance at tertiary centers. Cases of ICH after coagulopathy and AAICH were compared with multivariate logistic clay and adaptation analysis.
RESULTS: AAICH occurred in 190 of 1041 ICH cases (18%). In multivariate analysis, predictors of AAICH were cerebellar area of drain (p = 0.01) and a history of coronary avenue ache (p < 0.001), ischemic achievement (p < 0.001), atrial fibrillation (p < 0.001) and DVT or PE (p < 0.001). Relative to added ICH locations, alone cerebellar ICH showed an balance accident of anticoagulant-associated drain (OR 2.2, 95% CI 1.2 to 4.0). In multivariate clay the alone augur of cerebellar area of ICH was anticoagulation (p < 0.001). Patients with AAICH were added acceptable to die than added ICH patients. The aberration in chastity occurred by day one (mortality 33.2% vs 16.3%, p < 0.001) and remained abiding through one year (mortality 66.3% vs 50.3%, p < 0.001).
CONCLUSIONS: AAICH preferentially affects the cerebellum. Despite its affiliation with amyloid angiopathy, lobar ICH was no added acceptable to be anticoagulant-associated than abysmal bookish ICH. The balance bloodshed amid AAICH patients accrues aural one day of hemorrhage. Patients with AAICH accept a aerial accountability of vascular accident factors. New treatments for AAICH with prothrombotic abeyant should be evaluated in randomized controlled trials afore accepted use.
PreMedline Identifier:17290088
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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