Predictors of Outcome for Spontaneous Intracerebral Hemorrhage in Iraqi Stroke Patients
|Zaki Noah Hasan1*, Kareem M. Al Tameemi2 and Ghazi Ferhan Alhaji3|
|1Deaprtment of Neurology, Al Kindy College of medicine, Baghdad University, Baghdad, Iraq|
|2Deaprtment of neurology, Karbala College of medicine, Baghdad, Iraq|
|3Deaprtment of cardiology, Al Kindy College of medicine, Baghdad University, Baghdad, Iraq|
|*Corresponding Author :||Zaki Noah Hasan
Assistant Professor of Neurology
Al Kindy College of medicine
Baghdad University, P Box 47188 Jadiryah
E-mail: [email protected]
|Received February 25, 2012; Accepted June 21, 2012; Published June 29, 2012|
|Citation: Hasan ZN, Tameemi KMA, Alhaji GF (2012) Predictors of Outcome for Spontaneous Intracerebral Hemorrhage in Iraqi Stroke Patients. Intern Med 2:111. doi:10.4172/2165-8048.1000111|
|Copyright: © 2012 Hasan ZN, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Background: Intracerebral hemorrhages (ICHs) comprise approximately 10% of all strokes with a thirty-day case fatality rate of 30% to 50%.
Objectives: To determine potential early predictors of outcome within first week of primary intracerebral hemorrhage and to evaluate the influence of those various factors on the mortality and morbidity of patients with intracerebral hemorrhage (ICH).
Methods: 70 patients (48 men and 22 women) were admitted to Baghdad teaching hospital, between May 2009 and 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 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), 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.