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Changing Pattern of Brain Hemorrhage During 12 Years of Computed Axial Tomography
Stroke 23:653-656, Schuetz,H.,et al, 1992
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Article Abstract
The case-fatality ratio decreased from 49%in the period 1978-1981 to 31%in 1986-1989(p=0.006);early mortality(day 1-4)decreased from 28%to 12%(p=0. 0017).The incidence of hypertension decreased from 78%in the period 1978- 1981 to 64%in 1986-1989(p=0.01).Systolic and diastolic blood pressure at admission sank(p=0.09).The decrease of the case-fatality ratio correlated best with a less severe initial disturbance of consciousness(p<0.01)and with a higher Mathew score(p=0.038).The activities of daily living score remained unchanged.Conclusions:The case-fatality ratio and early mortality decreased after the introduction of computed tomography.This was basically due to a decreased incidence of comatose and stuporous patients with severe neurological deficit paralleled by a decrease of mean systolic and diastolic blood pressure values at admission.
 
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