A study of predictors of 30 days survival after spontaenous intracerebral haemorrhage.
ABSTRACT: Aims and Objective : To evaluate the predictors of 30 days survival after spontaneous intracerebral hemorrhage in a tertiary care hospital in Nepal. Design : Prospective cohort study Setting : Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Subject : 60 consecutive patients...
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| Achoimre: | ABSTRACT: Aims and Objective : To evaluate the predictors of 30 days survival after spontaneous intracerebral hemorrhage in a tertiary care hospital in Nepal. Design : Prospective cohort study Setting : Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Subject : 60 consecutive patients of spontaneous intracerebral hemorrhage admitted under department of internal medicine through the emergency department of internal medicine though the emergency department. Results : The 30 days survival after spontaneous Intracerebral hemorrhage is 60%. Ninety three percent of patients have a history of hypertension. The important clinical predictors at multivariate level included GCS score>9 and smaller pulse pressure. The CT scan predictors included absence of intraventicular spread of blood and smaller size of the bleed (<30 ml in volume and <3 cm in diameter). Location of lesion didn't significantly influence the survival. Conclusion : The 30 day survival rate is 60%. The important clinical predictors of 30 days survival are GCS score of more than 9 and pulse pressure of less than 65 mmHg. The CT scan predictors are size of the bleed less than 3cm, volume of hematoma less than 50ml and absence of intraventricular spread of blood. |
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