Epidemiology, Risk Factors, and Clinical Features of Intracerebral Hemorrhage: An Update

Intracerebral hemorrhage (ICH) is the second most common subtype of stroke and a critical disease usually leading to severe disability or death. ICH is more common in Asians, advanced age, male sex, and low- and middle-income countries. The case fatality rate of ICH is high (40% at 1 month and 54% a...

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Veröffentlicht in:	Journal of stroke Jg. 19; H. 1; S. 3 - 10
Hauptverfasser:	An, Sang Joon, Kim, Tae Jung, Yoon, Byung-Woo
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Korea (South) Korean Stroke Society 01.01.2017 대한뇌졸중학회
Schlagworte:	cerebral hemorrhage epidemiology incidence neurologic manifestations risk factors Special Review 신경과학 Neurologic manifestations Epidemiology Cerebral hemorrhage Risk factors Incidence
ISSN:	2287-6391, 1229-4101, 2287-6405
Online-Zugang:	Volltext
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Abstract	Intracerebral hemorrhage (ICH) is the second most common subtype of stroke and a critical disease usually leading to severe disability or death. ICH is more common in Asians, advanced age, male sex, and low- and middle-income countries. The case fatality rate of ICH is high (40% at 1 month and 54% at 1 year), and only 12% to 39% of survivors can achieve long-term functional independence. Risk factors of ICH are hypertension, current smoking, excessive alcohol consumption, hypocholesterolemia, and drugs. Old age, male sex, Asian ethnicity, chronic kidney disease, cerebral amyloid angiopathy (CAA), and cerebral microbleeds (CMBs) increase the risk of ICH. Clinical presentation varies according to the size and location of hematoma, and intraventricular extension of hemorrhage. Patients with CAA-related ICH frequently have concomitant cognitive impairment. Anticoagulation related ICH is increasing recently as the elderly population who have atrial fibrillation is increasing. As non-vitamin K antagonist oral anticoagulants (NOACs) are currently replacing warfarin, management of NOAC-associated ICH has become an emerging issue.
AbstractList	Intracerebral hemorrhage (ICH) is the second most common subtype of stroke and a critical disease usually leading to severe disability or death. ICH is more common in Asians, advanced age, male sex, and low- and middle-income countries. The case fatality rate of ICH is high (40% at 1 month and 54% at 1 year), and only 12% to 39% of survivors can achieve long-term functional independence. Risk factors of ICH are hypertension, current smoking, excessive alcohol consumption, hypocholesterolemia, and drugs. Old age, male sex, Asian ethnicity, chronic kidney disease, cerebral amyloid angiopathy (CAA), and cerebral microbleeds (CMBs) increase the risk of ICH. Clinical presentation varies according to the size and location of hematoma, and intraventricular extension of hemorrhage. Patients with CAA-related ICH frequently have concomitant cognitive impairment. Anticoagulation related ICH is increasing recently as the elderly population who have atrial fibrillation is increasing. As non-vitamin K antagonist oral anticoagulants (NOACs) are currently replacing warfarin, management of NOAC-associated ICH has become an emerging issue. Intracerebral hemorrhage (ICH) is the second most common subtype of stroke and a critical disease usually leading to severe disability or death. ICH is more common in Asians, advanced age, male sex, and low- and middle-income countries. The case fatality rate of ICH is high (40% at 1 month and 54% at 1 year), and only 12% to 39% of survivors can achieve long-term functional independence. Risk factors of ICH are hypertension, current smoking, excessive alcohol consumption, hypocholesterolemia, and drugs. Old age, male sex, Asian ethnicity, chronic kidney disease, cerebral amyloid angiopathy (CAA), and cerebral microbleeds (CMBs) increase the risk of ICH. Clinical presentation varies according to the size and location of hematoma, and intraventricular extension of hemorrhage. Patients with CAA-related ICH frequently have concomitant cognitive impairment. Anticoagulation related ICH is increasing recently as the elderly population who have atrial fibrillation is increasing. As non-vitamin K antagonist oral anticoagulants (NOACs) are currently replacing warfarin, management of NOAC-associated ICH has become an emerging issue. KCI Citation Count: 0
Author	Yoon, Byung-Woo An, Sang Joon Kim, Tae Jung
Author_xml	– sequence: 1 givenname: Sang Joon surname: An fullname: An, Sang Joon – sequence: 2 givenname: Tae Jung surname: Kim fullname: Kim, Tae Jung – sequence: 3 givenname: Byung-Woo surname: Yoon fullname: Yoon, Byung-Woo
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/28178408$$D View this record in MEDLINE/PubMed https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002194031$$DAccess content in National Research Foundation of Korea (NRF)
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ContentType	Journal Article
Copyright	Copyright © 2017 Korean Stroke Society 2017
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Keywords	Neurologic manifestations Epidemiology Cerebral hemorrhage Risk factors Incidence
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Snippet	Intracerebral hemorrhage (ICH) is the second most common subtype of stroke and a critical disease usually leading to severe disability or death. ICH is more...
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SubjectTerms	cerebral hemorrhage epidemiology incidence neurologic manifestations risk factors Special Review 신경과학
Title	Epidemiology, Risk Factors, and Clinical Features of Intracerebral Hemorrhage: An Update
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