<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2221-2434</journal-id>
<journal-title><![CDATA[Revista Finlay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Finlay]]></abbrev-journal-title>
<issn>2221-2434</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos. Centro Provincial de información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2221-24342019000400284</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Valor pronóstico del doppler transcraneal en la sobrevida de pacientes con hemorragia intraparenquimatosa cerebral espontánea]]></article-title>
<article-title xml:lang="en"><![CDATA[Prognostic Value of Transcranial Doppler in the Survival of Patients with Spontaneous Cerebral Intraparenchymal Hemorrhage]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Argüelles,]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Valero.]]></surname>
<given-names><![CDATA[Erélido]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Dr. Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Palamós y Hospital Josep Trueta.  ]]></institution>
<addr-line><![CDATA[Girona ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>9</volume>
<numero>4</numero>
<fpage>284</fpage>
<lpage>290</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2221-24342019000400284&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2221-24342019000400284&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2221-24342019000400284&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: el doppler transcraneal es una técnica que se mantiene en constante desarrollo y constituye una medida indirecta de la presión intracraneal.  Objetivo:  demostrar el valor pronóstico del doppler transcraneal en pacientes con hemorragia intraparenquimatosa cerebral espontánea.  Método:  se realizó un estudio prospectivo a 50 pacientes ingresados con el diagnóstico de hemorragia intraparenquimatosa cerebral de causa no traumática, en las primeras 12 horas de su admisión, se determinó el índice de pulsatilidad y velocidad media en la arteria cerebral media bilateralmente. Se realizó un estudio univariado a edad, presencia de sangre intraventricular, velocidad media, volumen del hematoma y valores del doppler transcraneal. Se evaluó la existencia de correlación entre los valores del índice de pulsatilidad con la velocidad media. A los valores del doppler transcraneal se le hallaron los valores predictivos.  Resultados:  se obtuvo una asociación significativa entre volumen del hematoma, valores del doppler transcraneal y electrocardiograma con la sobrevida. Además, se encontró correlación entre este último parámetro y el doppler trancraneal. El área bajo la curva de característica operativa del receptor del doppler transcraneal en el hemisferio afectado fue altamente predictiva de mortalidad con alta sensibilidad y especificidad para puntos de corte del índice de pulsatilidad en 1,85 y de velocidad media en 32,3 cm/s.  Conclusiones:  la escala de coma de Glasgow y el volumen de hematoma son los principales indicadores pronósticos de sobrevida en pacientes con hemorragia intraparenquimatosa espontánea.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  transcranial doppler is a technique which is constantly being developed and constitutes an indirect measure of intracranial pressure.  Objective:  to demonstrate the prognostic value of transcranial doppler in patients with spontaneous cerebral intraparenchymal hemorrhage.  Method:  a prospective study was carried out on 50 patients admitted with the diagnosis of intraparenchymal cerebral hemorrhage of non-traumatic cause in the first 12 hours of admission, the pulsatility rate and average velocity in the middle cerebral artery was determined bilaterally. A univariate study was performed at age, presence of intraventricular blood, average speed, hematoma volume and transcranial doppler values. The existence of correlation between the pulsatility index values &#8203;&#8203;and average speed with the average speed was evaluated. The values &#8203;&#8203;of transcranial doppler were found their predictive values.  Results:  a significant association was obtained among hematoma volume, transcranial doppler values &#8203;&#8203;and electrocardiogram with survival. In addition, a correlation was found between this last parameter and the transcranial doppler. The area under the operating characteristic curve of the transcranial doppler receptor in the affected hemisphere was highly predictive of mortality with high sensitivity and specificity for cut-off points of the pulsatility index at 1.85 and average speed at 32.3 cm/s.  Conclusions:  glasgow coma scale and hematoma volume are the main prognostic indicators of survival in patients with spontaneous intraparenchymal hemorrhage.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ultrasonografía doppler]]></kwd>
<kwd lng="es"><![CDATA[hemorragia cerebral]]></kwd>
<kwd lng="es"><![CDATA[escala de coma de Glasgow]]></kwd>
<kwd lng="en"><![CDATA[ultrasongraphy doppler]]></kwd>
<kwd lng="en"><![CDATA[cerebral hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[glasgow coma scale]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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