Prehospital Systolic Blood Pressure Is Related to Intracerebral Hemorrhage Volume on Admission [Brief Report]

Background and Purpose—Ultra-early blood pressure (BP) management in the prehospital setting could improve the efficacy of this treatment on attenuating intracerebral hemorrhage (ICH) expansion. We aimed to determine the association of prehospital systolic BP (SBP) with ICH volume, ultra-early hematoma growth, and the spot sign on admission.Methods—We conducted a retrospective study of a prospective database of 219 consecutive patients with spontaneous ICH admitted to the emergency department of a tertiary stroke center during a 3-year period. Prehospital SBP and ICH volume, ultra-early hematoma growth (ICH volume/onset-to-imaging time), and presence of the spot sign on admission were prospectively recorded. Primary outcome was ICH volume on admission. Secondary outcomes included ultra-early hematoma growth and frequency of the spot sign in patients scanned within 6 hours from symptom onset (hyperacute group).Results—Prehospital SBP was positively correlated with both SBP (r=0.552; P
Source: Stroke - Category: Neurology Authors: Tags: High Blood Pressure, Computerized Tomography (CT), Intracranial Hemorrhage Brief Reports Source Type: research