The factors affecting mortality in patients with intracerebral hemorrhage

Abstract

Objectives: Intracerebral hemorrhage (ICH) occurs usually from the rupture of vessels into the brain parenchyma and accounts for approximately 10% of all strokes. ICH occurs more commonly in Turkey than in other western countries and carries a significantly high mortality than ischemic stroke Materials and methods: We evaluated 86 consecutive patients with ICH who were admitted to Neurology Clinics of SDU University Medical Faculty. The factors studied were age, gender, risk factors, electrocardiography results, blood pressure, fever, blood cells, biochemistry, hematoma volume and localization, clinical findings, and demographic characteristics. Results: ICH is a 30-day mortality rate between approximately 50%, with half of the deaths occurring within 48 hour from the onset. Conclusion: It was found that age, site and volume of hematoma, initial level of consciousness and drainage of hematoma into the ventricular cavity have significant effects on the prognosis. The prognosis of ICH remains frequently poor despite the best medical management, control of vital functions and infections. J Clin Exp Invest 2011; 2 (4): 404-407

Keywords

• Intracerebral hemorrhage, mortality, etiology

The factors affecting mortality in patients with intracerebral hemorrhage

Öz

Amaç: İntraserebral hemoraji (İSH), beyin damarları rüptürü sonucu beyin parankimi içine kanamadır ve tüm inmelerin yaklaşık %10\'unu oluşturur. İSH\'ler ülkemizde diğer batı ülkelerine göre daha sık görülürler ve mortalitesi iskemik inmelerden daha fazladır. Gereç ve yöntem: Çalışmamıza SDÜ Tıp Fakültesi Nöroloji Kliniği\'ne başvuran 86 İSH\'li hasta alındı. Yaş, cinsiyet, risk faktörleri, elekrokardiyografi, kan basıncı, ateş, hemogram, rutin biyokimya parametreleri, hematomun yeri ve büyüklüğü, klinik ve demografik bulgular değerlendirildi. Bulgular: İSH\'lerin yaklaşık yarısı ilk bir ay içerisinde ölümle sonuçlanmakta ve bu ölümlerin yarısı ilk 48 saatte olmaktadır. Sonuç: Yaş, hematomun yeri ve volümü, ilk değerlendirmedeki bilinç durumu, hematomun ventriküler kaviteye geçmesi prognoz üzerine etkili bulunmuştur. İSH\'nin en iyi şekilde medikal tedavisi, vital fonksiyonların ve enfeksiyonun kontrolüyle en az şekilde sekel kalmaktadır.

Anahtar Kelimeler

• İntraserebral hemoraji, mortalite, etyoloji

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