Blood pressure at hospital admission and outcome after primary intracerebral ...Erwin Chiquete, MD, PhD
Introduction: The importance of the admission blood pressure (BP) for intracerebral
hemorrhage (ICH) outcome is not completely clear. Our objective was to
analyze the clinical impact of BP at hospital arrival in patients with primary ICH.
Material and methods: We studied 316 patients (50% women, mean age:
64 years, 75% with hypertension history) with acute primary ICH. The first BP reading
at admission was evaluated for its association with neuroimaging findings
and outcome. A Cox proportional hazards model and Kaplan-Meier analyses
were constructed to evaluate factors associated with in-hospital mortality.
Results: Intraventricular irruption occurred in 52% of cases. A high frequency
of third ventricle extension was observed in patients with BP readings in the
upper quartiles of the distribution (systolic, diastolic, or mean arterial pressure).
Blood pressure readings did not correlate with hematoma volumes. In-hospital
case fatality rate was 46% (63% among those with ventricular irruption). Systolic
BP (SBP) > 190 mm Hg was independently associated with in-hospital mortality
in supratentorial (n = 285) ICH (hazard ratio: 1.19, 95% confidence interval:
1.02-1.38, for the highest vs. the lowest quartile) even after adjustment for
known strong predictors (age, ICH volume, Glasgow coma scale and ventricular
extension). Blood pressure was not significantly associated with ventricular
extension or outcome in patients with infratentorial ICH.
Conclusions: A high BP on admission is associated with an increased risk of
intraventricular extension and early mortality in patients with supratentorial
ICH. However, a significant proportion of patients with high BP readings without
ventricular irruption still have an increased risk of death.
Шишигина Е., Цигулев П, Борисенко Д. Проект для "КонсультантПлюс Илан"prasu1995
Проект для компании «КонсультантПлюс Илан» (Красноярск)
Авторы: Екатерина Шишигина (ИнАрхДиз АлтГТУ), Павел Цигулев, Дарья Борисенко (Связи с общественностью АлтГУ)
Выполнен в рамках интенсивного практического курса «Мастерская рекламы-3», Барнаул, 2012
Blood pressure at hospital admission and outcome after primary intracerebral ...Erwin Chiquete, MD, PhD
Introduction: The importance of the admission blood pressure (BP) for intracerebral
hemorrhage (ICH) outcome is not completely clear. Our objective was to
analyze the clinical impact of BP at hospital arrival in patients with primary ICH.
Material and methods: We studied 316 patients (50% women, mean age:
64 years, 75% with hypertension history) with acute primary ICH. The first BP reading
at admission was evaluated for its association with neuroimaging findings
and outcome. A Cox proportional hazards model and Kaplan-Meier analyses
were constructed to evaluate factors associated with in-hospital mortality.
Results: Intraventricular irruption occurred in 52% of cases. A high frequency
of third ventricle extension was observed in patients with BP readings in the
upper quartiles of the distribution (systolic, diastolic, or mean arterial pressure).
Blood pressure readings did not correlate with hematoma volumes. In-hospital
case fatality rate was 46% (63% among those with ventricular irruption). Systolic
BP (SBP) > 190 mm Hg was independently associated with in-hospital mortality
in supratentorial (n = 285) ICH (hazard ratio: 1.19, 95% confidence interval:
1.02-1.38, for the highest vs. the lowest quartile) even after adjustment for
known strong predictors (age, ICH volume, Glasgow coma scale and ventricular
extension). Blood pressure was not significantly associated with ventricular
extension or outcome in patients with infratentorial ICH.
Conclusions: A high BP on admission is associated with an increased risk of
intraventricular extension and early mortality in patients with supratentorial
ICH. However, a significant proportion of patients with high BP readings without
ventricular irruption still have an increased risk of death.
Шишигина Е., Цигулев П, Борисенко Д. Проект для "КонсультантПлюс Илан"prasu1995
Проект для компании «КонсультантПлюс Илан» (Красноярск)
Авторы: Екатерина Шишигина (ИнАрхДиз АлтГТУ), Павел Цигулев, Дарья Борисенко (Связи с общественностью АлтГУ)
Выполнен в рамках интенсивного практического курса «Мастерская рекламы-3», Барнаул, 2012
Theory to consider an inaccurate testing and how to determine the prior proba...Toshiyuki Shimono
I presented a mathematical theory on a medical testing method. This fundamental theory can be taken account of both cases when the resource of the testing is limited or not. One implication is that "negative proof" may not function well, and another implication is that excessively high specificity and accuracy are required for meaningful diagnosis unless the careful usage of the diagnosis is considered.
To Make Graphs Such as Scatter Plots Numerically Readable (PacificVis 2018, K...Toshiyuki Shimono
Different-sized discrete crosses placed in an organized lattice pattern can assist the human eyes to read numerical values on statistical graphs, enabling more precise interpretation and enlarging the utility of statistical graphs that visually represent numerical quantities. This paper presents a novel graph-plotting method that places roughly ten thousand of separated grids on a graph, providing human data analysis with an easy access to arbitrary numerical readouts from a statistical graph. At present, this functionality has been lacking in the existing graph-plotting softwares.
To Make Graphs Such as Scatter Plots Numerically Readable (PacificVis 2018, K...Toshiyuki Shimono
Different-sized discrete crosses placed in an organized lattice pattern can assist the human eyes to read numerical values on statistical graphs, enabling more precise interpretation and enlarging the utility of statistical graphs that visually represent numerical quantities. This paper presents a novel graph-plotting method that places roughly ten thousand of separated grids on a graph, providing human data analysis with an easy access to arbitrary numerical readouts from a statistical graph. At present, this functionality has been lacking in the existing graph-plotting softwares.
Make Accumulated Data in Companies Eloquent by SQL Statement Constructors (PDF)Toshiyuki Shimono
Presented at IEEE BigData 2017, Boston, on Dec 11, 2017
in the Workshop of "3rd International Workshop on Methodologies to Improve Big Data projects".
The author is Toshiyuki Shimono, Digital Garage, Inc.
(This is PDF format instead of MS Powerpoint format for the sake of significantly smaller file size.)