A STUDY ON PROGNOSTIC FACTORS IN PATIENTS WITH INTRACEREBRAL HEMORRHAGE TREATED AT GENERAL HOSPITAL OF HANAM PROVINCE.

Abstract

               Objective: To study prognostic factors in patients with intracerebral hemorrhage treated at General Hospital of Hanam Province. Methods: 98 intracerebral hemorrhage patients treated at General Hospital of Hanam Province from 1/2014 to 9/2015 were undergone with clinical and paraclinical examinations and assessed by a cerebral CT scanner. The patients were devided into 2 groups (dead and alive). Results: The mean age was 69.15±}13.5. The mortality rate of the sudden onset group is 5.89 (2.34-373) times higher than the other group. The mortality rate of the fever group is 13.2 (2.34-97.1) times higher than the other group. The mortality rate of the Glasgow ≤ 9 group is 3.47 (1.31-9.32) times higher than the other group. The mortality rate of the seizure group is 13.3 (2.28-97.1) times higher than the other group. The mortality rate of the severe cerebral edema group is 169 (26.3-1461) times higher than the other group. The mortality rate of the midline shift ≥ 1 cm group is 21.4 (6.16-78) times higher than the other group. The mortality rate of the group with the volume of heamatoma ≥ 60 cm³ is 228 (33.3-2167) times higher than the other group. The mortality rate of the group with the diameter of heamatoma ≥ 5 cm is 171 (20.4-3168) times higher than the other group. The mortality rate of the patients with Glasgow ≤ 9 and severe cerebral edema is 41.68 (5.02-913.8) times higher than the other group. The mortality rate of the patients with sudden onset and hemiparesis is 34.84 (4.60-725.8) times higher than the other group. The mortality rate of the patients with sudden onset and volume of hemorrhage ≥ 60 cm³ is 8.37 (2.50-29.25) times higher than the other group. Conclusions: The prognotic factors of intracerebral hemorrhage were: sudden onset, fever, Glasgow ≤ 9, seizure, severe cerebral edema, midline shift ≥ 1 cm, volume of heamatoma ≥ 60 cm³, and diameter of heamatoma ≥ 5 cm. Combinations of these factors also increased the mortality rate in patients with intracerebral hemorrhage.