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ISSN 2063-5346
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Risk factors associated with in-hospital mortality following intracerebral hemorrhage

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Dr. Sarita Jalodiya, Dr.Mohan Bhandare, Dr. Pankaj Kumar Jain. Dr. Arun Kumar Pargi
» doi: 10.48047/ecb/2023.12.si4.334

Abstract

Intracerebral hemorrhage (ICH) is the most severe subtype of stroke. Non-traumatic ICH occurs due to bleeding from a vascular source directly into the brain substance Its mortality rate is high, and most survivors experience significant disability. Aims & objectives: To assess primary patient risk factors associated with mortality following ICH. Materials & Methods: We performed a prospective study carried out in the department of medicine in a tertiary care hospital, central India. All patients admitted with a non traumatic ICH were included. Detailed clinical history general and systemic examination was done. All relevant investigation was done and ICH was confirmed by CT/MRI brain. Results: A total of 200 patients diagnosed with intracerebral hemorrhage, 133 (66.5%) were male and 67 (33.5%) were female. 54% of subjects were between 60 to 80 years of age. The overall mortality rate among ICH patients admitted to the hospital was 46.7%. Hypertension, smoking, alcohol habit, diabetes and dyslipidemia were the common factors were associated in mortality in ICH. Factor significantly associated with in-hospital mortality were Glasgow Coma Scale (GCS) score (≤ 8), and midline shift. Conclusion: Higher rate of mortality were observed during the first two weeks of hospitalization following ICH. Neuro imaging features along with GCS score can help the clinicians in developing their prognosis.

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