Clinical features and predictors of in hospital mortality in patients with intra cerebral haemorrhage

Agarwal, Rajat; Kulshreshtha, Dinkar; Maurya, Pradeep Kumar; Singh, Ajai; Thacker, Anup Kumar

doi:10.18203/2320-6012.ijrms20160528

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…This is slightly higher because of haemorrhagic stroke included ICH, subarachnoid haemorrhage and cerebral micro-bleeds only visualized on magnetic resonance imaging (MRI). This is slightly similar to the prevalence of 34.0% amongst with ICH patients aged 61 -70 years with male predominance of 54.0% as reported by Agarwal et al in India [12] while Desalu et al, reported a prevalence of haemorrhagic stroke of 34.7% in Nigeria [13].…”

Section: Discussionsupporting

confidence: 86%

Spontaneous Intracerebral Hemorrhage: Epidemiology, Clinical Profile and Short-Term Outcome in a Tertiary Hospital in Sub-Saharan Africa

Jacques¹,

Abdouramani²,

Gams³

et al. 2020

WJNS

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Background: Data on spontaneous intracerebral haemorrhagic (SICH) are scarce in Africa. Our objectives were to determine the prevalence of SICH, describe the clinical profile, aetiology and evaluate the prognosis (fatality case, functional outcome) of patients in a tertiary health care hospital in Cameroon. Methods: This was a hospital-based retrospective cohort which included patients with SICH and followed up for 6 months after stroke. Subarachnoid haemorrhage, cerebral venous thrombosis with bleeding or bleeding related with ischemic or brain tumour were excluded. Predictive factors were obtained using multiple logistic regression and survival by Kaplan Meier method. Results: The prevalence of SICH was 37% with male predominance (64.0%), a mean age of 55.6 ± 11.8 years. Deep coma was found in 30.3% on admission. The basal ganglion was the most frequent location of haemorrhage (85.1%) while intraventricular blood effusion, mass effect, cerebral oedema and herniation occurred in 31.4%, 25.7%, 8.8% and 5.0% respectively. Hypertension (57.5%) was the most common aetiology. The mean length of hospitalization was 9.0 ± 7.7 days and chest infection (30.7%) was the most frequent complication. The cumulative case fatality rate after 24 hours (day 1), during admission, month 1 and month 3 was 9.6%, 39.9%, 46.0%, 59.8% respectively. On multivariate analysis, GCS < 9 [OR (95% CI) = 3.538 (1.086 -11.526), p = 0.036] and NIHSS 15 -24 [OR (95% CI) = 7.498 (1.306 -43.029), p = 0.

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Section: Discussionsupporting

confidence: 86%

Spontaneous Intracerebral Hemorrhage: Epidemiology, Clinical Profile and Short-Term Outcome in a Tertiary Hospital in Sub-Saharan Africa

Jacques¹,

Abdouramani²,

Gams³

et al. 2020

WJNS

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Brain Computed Tomographic Pattern and Clinical Presentation of Patients with Hypertensive Haemorrhagic Stroke at Aminu Kano Teaching Hospital, Kano, Nigeria

Jibo

Saleh²,

Tabari

et al. 2021

Journal of Radiation Medicine in the Tropics

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Background:Stroke or cerebrovascular disease is a clinical syndrome consisting of rapidly developing clinical signs of focal or global neurological deficits lasting more than 24 h or leading to death with no apparent cause other than a vascular origin.Study Aims:This study was aimed at evaluating pattern and clinical presentation of hemorrhagic stroke on brain Computed Tomography (CT) scan in Aminu Kano Teaching Hospital, Kano, Nigeria.Materials and Methods:This was a prospective study carried out between March 2018 and August 2018 on brain computed tomographic findings of 100 patients diagnosed with hemorrhagic stroke. Ethical approval to conduct the study was obtained from the Human Research and Ethics Committee of the Aminu Kano Teaching Hospital. Images were acquired using Prime Aquilion Toshiba Japan 2012 160 slice CT machine in the Department of Radiology. The patients' information and CT findings were recorded on the data capture sheet.Results:Headache was the most common clinical presentation seen in 72% of the patients, followed by dysphasia seen in 58%, followed by vomiting seen in 42%, and the least was convulsion seen in 28% of the patients. The most common site of hematoma was putamen with 54%, followed by thalamus 14%, and the least regions affected were parietal lobe, pons, and frontal lobes with 4% each.Conclusion:Headache was the most common clinical presentation of the patients with hemorrhagic stroke and the most common site of the hematoma was putamen.

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Clinical features and predictors of in hospital mortality in patients with intra cerebral haemorrhage

Cited by 2 publications

References 14 publications

Spontaneous Intracerebral Hemorrhage: Epidemiology, Clinical Profile and Short-Term Outcome in a Tertiary Hospital in Sub-Saharan Africa

Spontaneous Intracerebral Hemorrhage: Epidemiology, Clinical Profile and Short-Term Outcome in a Tertiary Hospital in Sub-Saharan Africa

Brain Computed Tomographic Pattern and Clinical Presentation of Patients with Hypertensive Haemorrhagic Stroke at Aminu Kano Teaching Hospital, Kano, Nigeria

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