A clinical-epidemiological approximation to intracerebral hemorrhage in a Mexican hospital: Analysis of factors associated to mortality [Aproximación clinicoepidemiológica de la hemorragia intracerebral en un hospital mexicano: Análisis de factores asociados a la mortalidad] Article uri icon

abstract

  • Introduction. Intracerebral hemorrhage (ICH) is the most lethal type of stroke. There are some clinical and radiological factors related to mortality. The time for obtaining medical care could be related with poor prognosis, but there are not available studies in Hispanics that evaluated this one. Aim. To determinate the association between epidemiological factors, time to obtain medical care, origin, and clinical characteristics with hospital mortality due to ICH. Subjects and methods. Study of cases and controls in a regional third level center, between January 2000 and December 2006 with patients of both sexes, older than 15 years with tomographic diagnosis of ICH. We excluded patients with NIHSS undetermined or traumatic head injury 4 weeks before. We studied demographic variables, time between beginning of symptoms and medical care, origin in kilometers until hospital, clinical characteristics at admission, including Glasgow and NIHSS. Results. We analyzed 74 men and 101 women with mean age of 65 years. The etiology was hypertension in 77.4%25 and localization lobar in 39.4%25. Eighty-five percent receipt medical care after 3 hours and 75.4%25 came from a radius < 100 km. Mortality in hospital was 16.6%25 with an explicative model of regression that included blood pressure < 130/80 mmHg, intubation, Glasgow < 9 at admission or NIHSS > 15, and hospitalization days. Conclusions. Demographic characteristics, causes, and localization are similar to previously informed series. The time for obtaining medical care is far from ideal, this could delay treatment; allow progression of disease, and then worse prognosis. © 2008, Revista de Neurología.

publication date

  • 2008-01-01