Liver Fibrosis and Perihematomal Edema Growth in Primary Intracerebral Hemorrhage.
Neal S Parikh, Arun Jesudian, Hooman Kamel, Daniel F Hanley, Wendy C Ziai, Santosh B Murthy, undefined VISTA-ICH Collaboration
Neurocritical Care | Published : 2021
BACKGROUND: Liver disease is associated with altered serum osmolality, increased thrombin generation, and systemic inflammation, all of which may contribute to perihematomal edema (PHE) after intracerebral hemorrhage (ICH). We evaluated the association between a validated liver fibrosis index and PHE growth in a cohort of patients with primary ICH. METHODS: We performed a retrospective cohort study using data from the Virtual International Stroke Trials Archive-ICH. We included adult patients with primary ICH presenting within 6 h of symptom onset. The exposure of interest was the Fibrosis-4 (FIB-4) score, a validated liver fibrosis index; this was modeled as a continuous variable. The prima..View full abstract