Independent Predictors of Mortality in Intracerebral Hemorrhage Patients: A Retrospective cross-sectional study
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 5
Abstract
Introduction: Primary (non traumatic) intracerebral hemorrhage (ICH) accounts for approximately 10–15 % of strokes. Morbidity and mortality caused by ICH are high. There has not been reduction of the mortality rate of ICH in the recent decades. Overall mortality also seems to be similar in all regions of the world. The mortality rate of patients with ICH at 30 days varies from 13 to 61%. Objective: This study was undertaken to analyse and evaluate the frequency and risk factors and independent predictors of mortality in intracerebral hemorrhage patients using CT scan.. Materials and Methods: The present study was a 1-year cross-sectional study, conducted on 450 patients with primary ICH, admitted in the wards and intensive care units of a tertiary care hospital during the period from January 2017 to December 2017. Results: In this retrospective cross sectional study we analysed 450 patients presented with spontaneous intracerebral hemorrhage. The mortality rate was higher in older age group than younger ones (62.3% vs 37.7%). In this study the location of ICH were was basal ganglia (43.2%), thalamic (26.9%), lobar (17.3%), brain stem (5.1%), cerebellum (3.1%) and multiple hemorrhage (4.4%). The mortality rate of each location was evaluated. Conclusion: Hematoma volume measurement is an easy and bedside tool to assess mortality within first 30 days. ICH score is a sensitive bedside tool to assess prognosis within 24 h. Early expansion of cerebral haematoma of any topography is an important determinant of in-hospital mortality
Authors and Affiliations
Lalatendu Swain
Keywords
Related Articles
- EP ID EP513979
- DOI -
- Views 68
- Downloads 0
Mild Cognitive Impairment- A Conceptual Study
Ageing means growing old, maturing, progressive changes related to the passage of time. .Memory complaints are ubiquitous in our aging population. Mild cognitive impairment (MCI) is considered by many as an intermediary...
Extra- Renal Rhabdoid Tumour - Role play of Immunohistochemistry: A Tumour Hiding Behind Veil
Malignant rhabdoid tumour of soft tissues is a neoplasm of infants & children having aggressive behavior and poor prognosis. Location of these tumors exhibit wide variety with imaging studies of not much help. Histopatho...
Impact of various teaching tools on learning in Pharmacology: a crosssectional study among second year M.B.B.S students
Background: Our study aims to assess and compare the impact of teaching tools like chalk and talk method and power point presentation on different areas of learning in pharmacology. Methods: This cross sectional question...
CD 4 Response in HIV Patients on Long Term First Line ART – A Cross Sectional Study from South India
The CD4 count is the most important indicator of immune function in HIV-infected patients. It is also the strongest predictor of subsequent disease progression and survival. We conducted a study to estimate the CD4 count...
Anaemia in the ICU
Anemia is a common clinical problem in ICU. Almost universal by the end of first week after admission (1) .How ever these result can be misleading because it is based on Hemoglobin concentration in blood as marker of Ane...