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Of the 81 patients studied,40 had hydrocephalus.Those with hydrocephalus were younger(57+/-15 versus 67+/-15 years),had lower GCS scores(8.2+/-4.2 versus 11+/-2.9),were more likely to have ganglionic or thalamic hemorrhages,and were intubated more frequently(70%versus 27%).Hospital mortality was higher in patients with hydrocephalus(51%versus 2%),and fewer patients went home(21%versus 35%).Those who died had higher hydrocephalus scores(9.67+/-7.1 versus 5.75+/-4.5).Outcome was no different if a ventriculostomy was placed.The final logistic regression model included hydrocephalus score,gender,GCS,and pineal shift,and it correctly predicted 85%of patients as dead or alive.Multivariate analyses indicated that hydrocephalus is an independent predictor of mortality.We conclude that hydrocephalus is an independent predictor of mortality after ICH. |
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