Intracerebral Hemorrhage Clinical Trial
Official title:
Multicentre Registry of Patients With Spontaneous Acute Intracerebral Hemorrhage in Catalonia
A population-based registry in Catalonia of patients with acute spontaneous Intracerebral Hemorrhage, to investigate whether type of center and time from onset to admission is associated with functional outcome and mortality.
Introduction. Recent studies show that there are potentially beneficial therapeutic measures
for the patient with acute intracerebral hemorrhage (ICH), which should be applied urgently
and that some would only be available in tertiary stroke centers (TSC). However, the
transportation criteria for ICH patients are not well defined.
Objectives: Design and implementation of a registry (HIC-CAT) of patients with HIC in the
healthcare network of public hospitals in Catalonia, which does not modify the current
logistics but collects data related to patients and TSC, interhospital transfers and non-TSC
centers. The registry will allow us to evaluate the hypothesis that: 1) Patient care in TSC
decreases the probability of death or dependence in patients with spontaneous ICH compared to
non-TSC; and 2) The shorter the time until admission to a TSC, the better the survival and
functional outcome. This will be due to the application of diagnostic, therapeutic and
structural measures at the TSC. In addition, organ donation will be more frequent in a TSC.
Methods: Observational, prospective, multicentre, population study of 2500 consecutive
patients with spontaneous ICH of less than 24 hours from the onset of symptoms and Rankin
scale score 0-3. We will collect times, clinical and radiological variables, vital and
functional outcome at 3 months follow-up. Number of organ donations. Primary variable:
Functional outcome at 3 months (Rankin 0-3). Statistics: Multivariate analysis with logistic
regression, propensity matching scores.
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