Neck Circumference Is Associated With Poor Outcome in Patients With Spontaneous Intracerebral Hemorrhage

Yujian Li; Huiqing Zhou; Xiang Yang; Jun Zheng; Fan Zhang; Mangmang Xu; Hao Li

doi:10.3389/fneur.2020.622476

Neck Circumference Is Associated With Poor Outcome in Patients With Spontaneous Intracerebral Hemorrhage

Front Neurol. 2021 Feb 1:11:622476. doi: 10.3389/fneur.2020.622476. eCollection 2020.

Authors

Yujian Li¹, Huiqing Zhou², Xiang Yang¹, Jun Zheng¹, Fan Zhang¹, Mangmang Xu³, Hao Li¹

Affiliations

¹ Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
² Department of Intensive Care Unit, Fourth People's Hospital of Sichuan Province, Chengdu, China.
³ Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.

Abstract

Objective: This study aimed to assess the association between neck circumference (NC) and functional outcome in intracerebral hemorrhage (ICH) patients. Methods: We prospectively analyzed data from ICH patients who received treatment at our institution from January 2018 to November 2019. Patients were categorized into two groups according to 180-day modified Rankin scale (MRS) scores. Univariate and multivariate analyses were performed to assess whether NC was associated with poor outcome in ICH patients. Receiver operating characteristic (ROC) curve analysis was performed to determine the significance of NC in predicting the functional outcome of ICH patients. Results: A total of 312 patients were enrolled in our study. Multivariate logistic regression analysis indicated that NC was an independent predictor of poor 180-day functional outcome [odds ratio (OR) = 1.205, 95% confidence interval (CI): 1.075-1.350, p = 0.001]. ROC analysis revealed that NC could predict poor functional outcome at 6 months. Conclusions: NC is an independent predictor of unfavorable functional outcome at 6 months in ICH patients.

Keywords: intracerebal hemorrhage; neck circumference; obesity; predictor; prognosis.