Predictors of Outcome for Spontaneous Intracerebral Hemorrhage in Iraqi Stroke Patients

N. Al Mousawi, Zaki; M. Al Tameemi, Kareem; Farhan Haji, Ghazi

	Predictors of Outcome for Spontaneous Intracerebral Hemorrhage in Iraqi Stroke Patients
Iraqi Postgraduate Medical Journal
Article 1, Volume 11, Issue 4, 2012, Pages 503-509 PDF (0 K)
Authors
Zaki N. Al Mousawi; Kareem M. Al Tameemi; Ghazi Farhan Haji
Abstract
ABSTRACT: BACK GROUND: Primary intracerebral hemorrhage (ICH) is one of the common vascular insults with a relatively high rate of morbidity and mortality and there are many factors which influence the outcome. OBJECTIVE: The aim of this study is to determine potential early predictors of outcome within first six days of primary spontaneous supratentorial hemorrhage and to evaluate the influence of those various factors on the mortality and morbidity of patients with intracerebral hemorrhage (ICH). METHOD: 70 patients (48 men and 22 women) were admitted to Baghdad teaching hospital, for the period from January 2010 to 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 6th day after 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) and 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.
Keywords
intracerebral hemorrhage; Cholesterol; size of hematoma; MAP; mRS; Vital Signs

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