Medicina Interna: Acesso Aberto
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Abstrato

Predictors of Outcome for Spontaneous Intracerebral Hemorrhage in Iraqi Stroke Patients

Zaki Noah Hasan, Kareem M. Al Tameemi and Ghazi Ferhan Alhaji

Background: Intracerebral hemorrhages (ICHs) comprise approximately 10% of all strokes with a thirty-day case fatality rate of 30% to 50%.

Objectives: To determine potential early predictors of outcome within first week of primary intracerebral hemorrhage and to evaluate the influence of those various factors on the mortality and morbidity of patients with intracerebral hemorrhage (ICH).

Methods: 70 patients (48 men and 22 women) were admitted to Baghdad teaching hospital, between May 2009 and January 2011. They were diagnosed with supratentorial hemorrhage by brain CT. Total Serum cholesterol, the vital signs and the size of hematoma were arranged for each patient at the time of admission, then a modified Rankin scale (mRS) was calculated at the onset of this catastrophe.

Result: Of the 70 patients (48 men and 22 women) consecutively admitted with ICH, 24 (38%) were died in the hospital: 31.5% on the first and second days and 82.5% by the fourth, fifth and sixth day of the event. The mRS outcome results were as follow: 8 (12.9%) good outcome mRS=2, 38 (62.9%) were dependent mRS=(3-5), 24 (34.3%) were died mRS=(6).

Conclusion: High mortality and morbidity (high mRS scores value) were observed in patient with large hematoma size, low serum cholesterol, and high vital signs readings.