Skip to main content

ORIGINAL RESEARCH article

Front. Neurol.
Sec. Neurocritical and Neurohospitalist Care
Volume 15 - 2024 | doi: 10.3389/fneur.2024.1429988
This article is part of the Research Topic Neurocritical Care and Climate Change View all 7 articles

Prognostic value of thrombocytopenia during hospitalizations in intracerebral hemorrhage patients

Provisionally accepted
Hao Feng Hao Feng 1Xiaoquan Luo Xiaoquan Luo 1Anhui Fu Anhui Fu 1Ruoran Wang Ruoran Wang 2Fei Qiao Fei Qiao 1*
  • 1 North Sichuan Medical College, Nanchong, China
  • 2 West China Hospital, Sichuan University, Chengdu, Sichuan Province, China

The final, formatted version of the article will be published soon.

    Background: The thrombocytopenia influences prognoses of critically ill patients. There are few studies exploring the prognostic value of thrombocytopenia among ICH patients. We perform this study to explore the correlation between thrombocytopenia at different timepoints of hospitalizations and mortality of ICH. Methods: ICH patients recorded in the Medical Information Mart for Intensive Care-III were selected for this observational study. The thrombocytopenia, defined as platelet <150 ×109/L, was divided into three categories: baseline thrombocytopenia (thrombocytopenia occurred at admission), acquired thrombocytopenia (thrombocytopenia developed since the second day after admission), multiple thrombocytopenia (baseline thrombocytopenia + acquired thrombocytopenia). The main outcome in this study was the 30-day mortality of ICH patients. The univariate and multivariate logistic regression was sequentially performed to discover risk factors of mortality and confirm the correlation between thrombocytopenia groups and mortality of ICH. Results: 66.5% of 902 ICH patients did not experience the thrombocytopenia since admission. 2.2%, 14.5% and 16.7% ICH patients showed the baseline thrombocytopenia, acquired thrombocytopenia initial and multiple thrombocytopenia, respectively. The GCS did not show significant difference between thrombocytopenia groups (p=0.118). The multiple thrombocytopenia group had the highest incidence of mechanical ventilation (p=0.041), mortality (p<0.001), and the longest length of ICU stay (p<0.001), length of hospital stay (p<0.001). The multivariate logistic regression found age (p<0.001), GCS (p<0.001), glucose (p=0.013), mechanical ventilation (p=0.002) was correlated with the mortality of ICH patients. Only the multiple thrombocytopenia group showed significant influence on the mortality of ICH (p=0.002) in the multivariate logistic regression. Conclusion: Single initial thrombocytopenia at admission dose not influence the mortality of ICH patients. ICH patients experiencing both initial thrombocytopenia and acquired thrombocytopenia have significantly higher mortality risk. The blood platelet level of ICH patients should be monitored continuously during hospitalizations to detect the thrombocytopenia and identify the high risk of poor prognosis.

    Keywords: intracerebral hemorrhage, Thrombocytopenia, Platelet, Mortality, hemorrhagic stroke

    Received: 09 May 2024; Accepted: 30 Oct 2024.

    Copyright: © 2024 Feng, Luo, Fu, Wang and Qiao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Fei Qiao, North Sichuan Medical College, Nanchong, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.