RT期刊文章SR电子T1解开自发性脑出血的风险因素在西非人乔摩根富林明神经病学神经病学FD Lippincott Williams &威尔金斯SP e998 OP e1012 10.1212 / WNL。首页94签证官0000000000009056是10 A1弗雷德美国Sarfo A1布鲁斯Ovbiagele A1 Mulugeta danawit Gebregziabher A1 Onoja Akpa A1艾伯特Akpalu A1 Kolawole瓦哈卜A1 Godwin Ogbole A1鲁弗斯Akinyemi A1雷金纳德Obiako A1 Morenikeji Komolafe A1 Lukman Owolabi A1丹尼尔·拉克兰A1 Donna Arnett A1赫曼特女子A1休·s·马库斯A1约书亚Akinyemi A1 Ayodipupo Oguntade A1女人Fawale A1 Abiodun Adeoye A1 Obiabo Olugbo A1 Luqman Ogunjimi A1 Godwin Osaigbovo A1卡罗琳·詹金斯A1 Ijezie Chukwuonye A1 Olabamiji Ajose A1 Lekan Oyinloye A1 Fedelis Mutiso A1露丝Laryea A1本笃Calys-Tagoe A1阿卜杜勒萨拉姆A1 Ganiyu Amusa A1塞缪尔Olowookere A1 Chidiebere Imoh A1阿利尤古萨乌曼丁哥语A1 Oyedunni Arulogun A1 Fakunle Adekunle A1兰伯特阿皮亚A1 Olayemi Balogun A1 Arti辛格A1 Osi Adeleye A1奥Ogah A1 Akintomiwa Makanjuola A1多加奥乌苏A1菲利普·图雷A1 Oladimeji Adebayo A1 Atinuke Agunloye A1文森特Shidali A1 Moyinoluwalogo Faniyan A1 Sulaiman Lakoh A1塞缪尔Diala A1亨利Iheonye A1 Chika Efidi A1 Emmanuel三亚A1 Taofiki Sunmonu A1 Adeseye Akintunde A1 Mayowa Owolabi A1代表塞壬年2020 UL //www.ez-admanager.com/content/94/10/e998.abstract AB客观描述自发性脑内出血的危险因素(西奇)西非人之间的发生和严重程度。首页方法中风调查研究和教育网络(警报)的研究是一个多中心病例对照研究涉及15个网站在加纳和尼日利亚。患者与CT-confirmed sICH≥18岁的成年人随着年龄的增长,性,和ethnicity-matched stroke-free社区控制。标准仪器被用来评估血管,生活方式,社会心理因素。西奇及其严重程度的相关因素评估使用条件逻辑回归来估计优势比(ORs)和人群归因风险(PARs)与95%置信区间(CIs)的因素。结果2944年裁决中风的病例中,有854是脑出血(我)。患者的平均年龄我是54.7±13.9岁,男性的优势(63.1%),77.3%是nonlobar。西奇的病原学的亚型包括高血压(80.9%)、血管结构异常(4.0%)、脑淀粉样血管病(0.7%)、全身性疾病(0.5%),与(0.4%),和不确定的(13.7%)。八个独立因素与西奇发生通过减少与他们的顺序调整或高血压(95% CI), 66.63 (20.78 - -213.72);血脂异常,2.95 (1.84 - -4.74);肉类消费,1.55 (1.01 - -2.38); family history of CVD, 2.22 (1.41–3.50); nonconsumption of green vegetables, 3.61 (2.07–6.31); diabetes mellitus, 2.11 (1.29–3.46); stress, 1.68 (1.03–2.77); and current tobacco use, 14.27 (2.09–97.47). Factors associated with severe sICH using an NIH Stroke Scale score >15 with adjusted OR (95% CI) were nonconsumption of leafy green vegetables, 2.03 (1.43–2.88); systolic blood pressure for each mm Hg rise, 1.01 (1.00–1.01); presence of midline shift, 1.54 (1.11–2.13); lobar ICH, 1.72 (1.16–2.55); and supratentorial bleeds, 2.17 (1.06–4.46).Conclusions Population-level control of the dominant factors will substantially mitigate the burden of sICH in West Africa.aOR=adjusted odds ratio; BP=blood pressure; CI=confidence interval; CVD=cardiovascular disease; DM=diabetes mellitus; FBG=fasting blood glucose; HDL-C=high-density lipoprotein cholesterol; ICH=intracerebral hemorrhage; INR=international normalized ratio; LDL-C=low-density lipoprotein cholesterol; LMIC=low and middle-income countries; NIHSS=NIH Stroke Scale; OR=odds ratio; OXVASC=Oxford Vascular Study; PAR=population-attributable risk; QVSFS=Questionnaire for Verifying Stroke-Free Status; SBP=systolic blood pressure; sICH=spontaneous intracerebral hemorrhage; SIREN=Stroke Investigative Research and Educational Networks; SMASH-U=structural lesions such as aneurysms/arteriovenous malformations, medication-related, amyloid angiopathy, systemic/other disease, hypertension, and undetermined causes; SSA=sub-Saharan Africa; TC=total cholesterol; TG=triglycerides; WHR=waist-to-hip ratio

map