Clinico-Epidemiological Profile of Intracerebral Hemorrhage
Journal Title: National Journal of Community Medicine - Year 2017, Vol 8, Issue 8
Abstract
Introduction: Clinico-epidemiological spectrum plays key role in provisional diagnosis and prognosis of Intracerebral Hemor-rhage (ICH). The objectives of this study were to evaluateclinico-epidemiological profile and to iden-tify and analyze clinical determi-nants of In-hospital mortality. Material and Methods: All patients (n=211), aged more than 12 years, diagnosed with ICH (based on CT scan/MRI) were studied for demo-graphic profile, clinical profile, Glasgow Coma Scale (GCS) on ad-mission and outcome. Results: ICH was more common in >60 yr age group (52.13%). Mean Age (±SD) is 62.04 (±15.16). M: F ra-tio is 1.15:1. Its incidence increased during the winter season (53.55%) from the months of November to February and early morning hours (61.14%). Weakness (69.67%) and Loss of consciousness (LOC) /altered sensorium (59.72%) were the two most common presenting complaints on admission. In-Hospital mortality was 87(41.23%) with maximum mortality occurring within 72 hours. Conclusion: In-hospital clinical mortality determinants of ICH on admission were: Loss of conscious-ness (LOC)/altered sensorium, headache, vomiting, addiction, to-bacco, smoking, hyperglycemia, MAP >120, and GCS ≤ 8.
Authors and Affiliations
Tejas N Modi, Santosh S A, Falgun K Dhoreeyanee, Pankaj S Patil
Keywords
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