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姓名 謝嘉如(Jia-lu Shei)  查詢紙本館藏   畢業系所 資訊工程學系
論文名稱 高血壓性腦出血病患不同年齡間死亡率之雙峰分佈
(Bimodal distribution of age on the mortality of hypertensive intracerebral hemorrhage)
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摘要(中) 腦中風為突然而劇烈的局部性神經機能障礙,並持續24小時以上或導致死亡。根據世界衛生組織所公布數據資料顯示,腦中風為世界第三大死因(僅次於癌症及缺血性心臟病),其中顱內出血造成的死亡率更高於其他型中風,例如:蜘蛛網膜下腔出血、腦栓塞等。臨床資料亦顯示出不論是出血型中風抑或是缺血型中風,高血壓皆為最主要的獨立危險因子。在台灣,有許多關於顱內出血死亡率的研究,但尚未有僅針對高血壓型顱內出血病患,在包含年輕族群的不同年齡間各項統計分析研究。根據以上理由,我們的研究會著重於以下幾點:1. 高血壓型顱內出血病患不同年齡間個數分布的情形。 2. 高血壓型顱內出血病患不同年齡間,死亡率分布的情形。 3. 造成高血壓型顱內出血病患的獨立危險因子。
摘要(英) Stroke is defined as a sudden and severe focal neurological deficit lasting more than 24 hours or leading to death. According to the World Health Organization report, stroke is the third leading cause of death worldwide (after cancer and ischemic heart disease), and intracerebral hemorrhage occupiers higher mortality rate than subarachnoid hemorrhage, ischemic stroke, and other kind of strokes. Clinical data shows that whether hemorrhage strokes or ischemic strokes, hypertension is the most dominant risk factor. There are many investigations of mortality rate of intracerebral hemorrhage in Taiwan, but there is no statistical analysis about the age including the younger and hypertension-associated intracerebral hemorrhage patients. For the reasons mentioned above, our research focuses on following points: first, the distribution of numbers in different age groups of hypertension-associated intracerebral hemorrhage patients; second, the distribution of mortality rates in different age groups of hypertension-associated intracerebral hemorrhage patients; third, the cause of independent risk factors of hypertension-associated intracerebral hemorrhage.
關鍵字(中) ★ 高血壓
★ 腦出血
★ 死亡率
關鍵字(英) ★ mortality
★ hypertension
★ intracerebral hemorrhage
論文目次 Chinese Abstract i
English Abstract ii
Table of Contents iii
List of Tables iv
List of Figures v
Chapter 1 INTRODUCTION 1
1-1 Background 1
1-2 Motivation 2
1-3 Research Goal 2
Chapter 2 RELATED WORKS 4
Chapter 3 MATERIALS AND METHODS 7
3-1 Data Source 7
3-2 Study Population and Design 8
3-3 Operational Definitions 11
3-4 Statistical Analyses 11
Chapter 4 Results 12
4-1 Basic Demographics and Clinical Characteristics 12
4-2 Relation to Different Age-Groups and Associated Mortality Rate 14
4-3 Kaplan-Meier Graph to Different Age-Groups
and Associated Survival Curve 22
Chapter 5 Discussions 28
Chapter 6 Summary 31
References 32
Appendix 38
參考文獻 1. Qureshi AI, Tuhrim S, Broderick JP, Batjer HH, Hondo H,
Hanley DF. “Spontaneous intracerebral hemorrhage”, N Engl
J Med, 344: 1450–60, 2001
2. Broderick JP, Adams HP Jr, Barsan W, Feinberg W, Feldmann
E, Grotta J, Kase C, Krieger D,Mayberg M, Tilley B,
Zabramski JM, Zuccarello M: “Guidelines for the
management of spontaneous intracerebral hemorrhage: a
statement for healthcare professional from a special
writing group of the Stroke Council”, Stroke, 30(4): 905-
915, 1999
3. Marco Brizzi, Kasim Abul-Kasim, Mattis Jalakas, Eufroina
Selariu, Helene Pessah-Rasmussen, Elisabet Zia. “Early
do-not-resuscitate orders in intracerebral haemorrhage;
frequency and predictive value for death and functional
outcome. A retrospective cohort study”, Scand J Trauma
Resusc Emerg Med, 20(1): 36, 2012
4. Aho K, Harmsen P, Hatano S, Marquardsen J, Smimov VE,
Strasser T, et al. “Cerebrovascular disease in the
community: Results of a WHO collaborative study”, Bull
World Health Organ, 58(1): 113-130, 1980
5. Bowman TS, Gaziano JM, Kase CS, Sesso HD, Kurth T, et al.
“Blood pressure measures and risk of total, ischemic, and
hemorrhagic stroke in men”, Neurology, 67(5): 820-823,
2006
6. Johnston, S.C.; Mendis, S.; Mathers, C.D. “Global
variation in stroke burden and mortality: estimates from
monitoring, surveillance, and modelling”, Lancet Neurol,
8(4): 345-354, 2009
7. Stegmayr B, Asplund K. “Measuring stroke in the
population: quality of routine statistics in comparison
with a population-based stroke registry”,
Neuroepidemiology, 11(4-6): 204–13, 1992 7
8. Qureshi AI, Tuhrim S, Broderick JP, Batjer HH, Hondo H,
Hanley DF et al. “Spontaneous intracerebral hemorrhage”,
N Engl J Med, 344: 1450-1460, 2001
9. Feigin VL, Lawes CM, Bennett DA, Barker-Collo SL, Parag
V. “Worldwide stroke incidence and early case fatality
reported in 56 population-based studies: a systematic
review”, Lancet Neurol, 8(4): 355-369, 2009
10. Broderick JP, Brott T, Tomsick T, Miller R, Huster G, et
al. “Intracerebral hemorrhage more than twice as common
as subarachnoid hemorrhage”, J Neurosurg, 78(2): 188-
191, 1993
11. Cheung RT. “Cerebrovascular disease: advances in
management”, Hong Kong Med J, 7: 58-66, 2001
12.Caplan LR. “Intracerebral haemorrhage”, Lancet, 339: 656-
658, 1992
13. Broderick, J. P., H. P. Adams, et al. “Guidelines for
the management of spontaneous intracerebral hemorrhage:
A statement for healthcare professionals from a special
writing group of the stroke council”, Stroke, 30(4):
905-915, 1999 13
14. Flaherty, M. L., B. Kissela, et al. “The increasing
incidence of anticoagulant-associated intracerebral
hemorrhage”, Neurology, 68(2): 116 -121, 2007
15. Ruiz-Sandoval, J. L., E. Chiquete, et al. “Grading scale
for prediction of outcome in primary intracerebral
hemorrhages”, Stroke, 38: 1641-1644, 2007
16. Lovelock CE, Molyneux AJ, Rothwell PM, et al. “Change in
incidence and aetiology of intracerebral haemorrhage in
Oxfordshire, UK, between 1981 and 2006: a population
based study”, Lancet Neurol, 6(6): 487-493, 2007
17. Hsieh, F. I., L. M. Lien, et al. “Get with the
guidelines-stroke performance indicators: surveillance
of stroke care in the Taiwan Stroke Registry: Get with
the guidelines-stroke in Taiwan”, Circulation, 122(11):
1116-1123, 2010
18.Monforte, R., R. Estruch, et al. “High ethanol
consumption as risk factor for intracerebral hemorrhage
in young and middle-aged people”, Stroke, 1990; 21: 1529-
1532
19.Feldmann, E., J. P. Broderick, et al. “Major risk factors
for intracerebral hemorrhage in the young are
modifiable”, Stroke, 36(9): 1881 -1885, 2005
20.Choi JC, Kang SY, Kang JH, Park JK. “Intracerebral
hemorrhages in CADASIL”, Neurology 67: 2042-2044, 2006
21.Thrift AG, McNeil JJ, Forbes A, Donnan GA, et al. “Three
important subgroups of hypertensive persons at greater
risk of intracerebral hemorrhage”, Hypertension, 31(6):
1223–1229, 1998
22.Brott, T., K. Thalinger, et al. “Hypertension as a risk
factor for spontaneous intracerebral hemorrhage”,
Stroke,17: 1078-1083, 1986
23.Ya-Ching Chuang, Yung-Ming Chen, Shih-Kuei Peng, Shih-Yen
Peng, et al. “Risk stratification for predicting 30-day
mortality of intracerebral hemorrhage”, Int J Qual Health
Care, 21(6): 441-447, 2009
24.Stein, M., B. Misselwitz, et al. “Intracerebral
hemorrhage in the very old: future demographic trends of
an aging population”, Stroke 43(4): 1126 -1128, 2012
25.Obiako OR, Oparah SK, Ogunniyi A. “Prognosis and outcome
of acute stroke in the University College Hospital
Ibadan, Nigeria”, Niger J Clin Pract, 14(3): 359-362,
2011
26.Charlotte J J van Asch, Merel J A Luitse, Gabriel J E
Rinkel, Ingeborg van der Tweel, Ale Algra, Catharina J M
Klijn. “Incidence, case fatality, and functional outcome
of intracerebral haemorrhage over time, according to age,
sex, and ethnic origin: a systematic review and meta-
analysis”. Lancet Neurol, 9(2): 167-176, 2010
27.Zahuranec DB, Brown DL, Lisabeth LD, Gonzales NR,
Longwell PJ, Smith MA, Garcia NM, Morgenstern LB. “Early
care limitations independently predict mortality after
intracerebral hemorrhage”, Neurology, 20: 1651-1657, 2007
28.Rodriguez-Luna D, Rubiera M, Ribo M, Coscojuela P,
Pineiro S, Pagola J, Hernandez-Guillamon M, Ibarra B,
Romero F, Alvarez-Sabin J, Montaner J, Molina CA.
“Ultraearly hematoma growth predicts poor outcome after
acute intracerebral hemorrhage”, Neurology, 77: 1599-
1604, 2011
29.Labovitz DL, Halim A, Boden-Albala B, Hauser WA, Sacco
RL. “The incidence of deep and lobar intracerebral
hemorrhage in whites, blacks, and Hispanics”, Neurology,
65(4): 518-522, 2005
30.Chen HS, Hsieh CF, Chau TT, Yang CD, Chen YW. “Risk
factors of in-hospital mortality of intracerebral
hemorrhage and comparison of ICH scores in a Taiwanese
population”, Eur Neurol, 66(1): 59-63, 2011
31. Chiu, Y. M. and C. H. Lai, et al. “Nationwide
population-based epidemiologic study of systemic lupus
erythematosus in Taiwan”, Lupus, 19: 1250-1255, 2010
32. Chen CS, Liu TC, Lin HC, Lien YC. Does high surgeon and
hospital surgical volume raise the five-year survival
rate for breast cancer? A population-based study. Breast
Cancer Res Treat 2008; 110: 349-356
33. Ruiz-Sandoval, J. L., S. Romero-Vargas, et al.
“Hypertensive intracerebral hemorrhage in young people:
previously unnoticed age-related clinical differences”,
Stroke, 37(12): 2946-2950, 2006
34. Kuramatsu, J. B., R. Sauer, et al. “Correlation of age
and haematoma volume in patients with spontaneous lobar
intracerebral haemorrhage”, J Neurol Neurosurg
Psychiatry, 82(2): 144-149, 2011
35. Hu X, Zhang JH, Qin X. “Risk factors of early death in
patients with hypertensive intracerebral hemorrhage
during hospitalization”, Acta Neurochir Suppl, 111: 387-
391, 2011
36. Molshatzki, N., D. Orion, et al. “Chronic kidney disease
in patients with acute intracerebral hemorrhage:
association with large hematoma volume and poor
outcome”, Cerebrovasc Dis 31(3): 271-277, 2011
37. Hernandez-Guillamon M, Ibarra B, Romero F, Alvarez-Sabin
J, Montaner J, Molina CA, et al. “Ultraearly hematoma
growth predicts poor outcome after acute intracerebral
hemorrhag”, Neurology, 77(17): 1599-604, 2011
指導教授 洪炯宗(Jorng-Tzong Horng) 審核日期 2012-7-25
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