Predictors of in-hospital mortality for intracerebral hemorrhage: A hospital-based study in Pakistani adults

• Published in: Journal of stroke and cerebrovascular diseases 2001-05, Vol.10 (3), p.122-127
• Main Authors: Ahmed, Raheel, Shakir, Ali H., Moizuddin, Sonia Samar, Haleem, Ambar, Ali, Sadia, Durrani, Khayyam, Khan, Amanullah, Baig, Shahid
• Format: Article
• Language: English
• Subjects: Adults; Intracerebral hemorrhage; Mortality
• ISSN: 1052-3057; 1532-8511
• DOI: 10.1053/jscd.2001.25462

Introduction: Intracerebral hemorrhages (ICHs) comprise 5% to 30% of all strokes with a case fatality rate of 30% to 50%. With an increasing elderly population, nontraumatic ICH is likely to present as a recurring medical emergency in Pakistan. There is scarce documentation in Pakistan regarding the predictors for mortality in patients with ICH that can guide physicians in their management. We conducted a hospital-based study to determine the predictors of in-hospital mortality from ICH in patients admitted to a tertiary care facility. Materials and methods: We reviewed case records of patients above 17 years admitted to The Aga Khan University Hospital, Karachi, Pakistan, between July 1995 and December 1997, with the primary diagnosis of ICH confirmed on computed tomography scanning. Clinical and risk factors were also evaluated. Results: The data of 221 patients was analyzed. Seventy-one (32%) patients died during hospital stay, half of whom died during the first 2 days of hospitalization. Patients who died during hospital stay were more likely on admission to have intraventricular extension of the primary hemorrhage (odds ratio = 10.6, P