1. The outcome difference in patients with spontaneous intracerebral hematoma
ID23049 
Author: Zanda Lāse 1,dr.med. Juris Dzenis2,3, dr. Ilga Ķikule1,4
1Faculty of Continuing Education, Rīga Stradiņš University, Riga, Latvia
2Faculty of Medicine, University of Latvia, Riga, Latvia 3Clinic of Neurosurgery, Pauls Stradiņš Clinical University Hospital, Riga, Latvia
4Clinic of Vascular Neurology, RAKUS “Gaiļezers” Clinical University Hospital, Riga, Latvia
Introduction.
Spontaneous intracerebral hemorrhage (SIH) is the most devastating form of stroke, with high mortality and severe disability among survivors. The overall incidence of spontaneous ICH worldwide is 24.6 per 100,000 person-years with 30-day mortality rate ranges from 35% to 52% with only 20% of survivors expected to have full functional recovery at 6 months.
Figure 3. Comparison GKS between groups .
Glasgowa Coma Scale (GCS) were higher in live patients average 13±3 (p<0,00).
patients that were dead average GKS were 7 ± 4
Aim.
Compare patient with different (SIH) outcomes.
Material and Methods.
A retrospective medical record review was performed in the Pauls Stradins Clinical University Hospital and in Riga East Clinical University Hospital Gailezers. Together we collected 200 records.
Results.
Demographics: Total of 157 patients were reviewed, 64 men and 93 women. Of all patience 77 were in live case(1.) group 80 in lethal case (2.).
Figure 4. Comparison SIH volume between groups .
average hematoma volume were bigger in dead patients (79±79ml) than live patients (14±24ml) (p<0,00)).
Figure 1. Comparison between different ages groups and SIH outcome.
bad outcomes most pronounced were in age group 80+ y.o. second were in y.o. and third y.o.,(p<0,00)
more SIH were in second group (n=63)
Figure 5. Outcome modified Rankin score in patients .
modified Rankin scale (mRs) after 30 day hospitalization most points were 3 (27,3%) and 4 (42,8%).
Figure 6. ICH score comparison with our data
comparing groups with point 0 and 2 we had bigger mortality rate than predicted
in groups with points 1, 3 and 4 in our study, mortality was lower
with a score of 5 there was 100% mortality in both groups
Figure 2. Comparison systolic blood pressure between groups .
live patience group average systolic blood pressure were higher 188 ± 3,9 mmHg (p=0,02)
Conclusions.
Patients are more likely to die in age group 80+, onset systolic blood pressure and (GCS) are higher and SIH volumes are smaller in live cases. MRs after 30 day hospitalization are more likely to be 3 and 4 point. Lobar hematomas, IVH and perifocal edema are more pronounced in dead cases. ICH score would be useful to predict outcome of our patients.