| Influence of Body Mass Index on the Short-term Outcome of Spontaneous Intracerebral Hemorrhage in the Aged |
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Soo Young Choi1 , Cheol Wan Park1,2 , Chan Jong You1,2 , Dae Han Choi1,2 , Young Bo Kim1 , Gi-Taek Yee1 , Myeong-Jin Kim1 , Eun Young Kim1 , Woo Kyung Kim1 |
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Departments of 1Neurosurgery and 2Section of Critical Care Medicine in Department of Emergency Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea |
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| Abstract |
Objective
The authors aimed to determine the impact of body mass index (BMI) on short-term treatment outcome following spontaneous intracerebral hemorrhage (sICH) in the aged (60 years-old and over).
Methods
We analyzed the medical and radiological records including age, sex, hypertension, diabetes, alcoholism, smoking, prior stroke history, family history of stroke, initial Glasgow coma scale score, sICH location, treatment method and BMI from 552 sICH patients of 60 years-old and over. BMI complied with the World Health Organization’s definition. The authors judged short-term clinical outcome after treatment by using the Glasgow outcome scale score and again, divided it into “good” and “poor”.
Results
Among 552 enrolled subjects, 93 (16.8%) were overweight, and 12 (2.2%) were obese. Of the 93 overweight patients, 66 (71.0%) achieved a good short-term outcome. Out of the 397 patients with a normal BMI, 285 (71.5%) achieved a good short-term outcome (p=0.083). Multivariate analysis showed age (p<0.001), initial emergency department Glasgow coma scale score (15; p<0.001), and treatment policy (stereotactic aspiration; p=0.007) independently predicted short-term treatment outcome.
Conclusion
Although most neurosurgeons usually expect poorer outcomes in obese or higher BMI patients, authors of this study identified that BMI in the aged was not an independent prognostic variable for short-term treatment outcome after sICH. |
| Key Words:
Body mass index, Aged, Obesity, Spontaneous intracerebral hemorrhage, Prognosis |
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