Vol. 4, Issue 2 (2019)
A prospective study of clinical profile of patients with intracerebral Hemorrhage
Author(s): Dr. Mohan Bhandare, Dr. Dharmendra Tiwari, Dr. Amit Garg
Abstract: Background: Approximately, 35–50% of patients with ICH die within 1st month of bleeding. Data from the Asian Stroke Advisory Panel revealed an incidence of ICH ranging from 17% to 33% of all strokes, twice as high as in Western countries. Mortality depends on the size of the hematoma and on the location in the brain. Aims and Objectives: to study the clinical profile and mortality among patients presenting with ICH. Materials and Methods: Two hundred ICH patients confirmed by CT scan/MRI were studied at Department of Medicine, G.R. Medical College and JA Group of Hospitals, Gwalior from 2016 -2018. After a detailed clinical history, detailed general and systemic examination was performed. All the selected patients were subjected to routine blood investigations like CBC, RBS, RFT, LFT, lipid profile. Mortality was also recorded. Results: ICH was more prevalent among the age group of 61-70 years (27.5%) and 71-80 years (23.55) and among the male population (66.3%). Weakness (62.5%) followed by vomiting (36.5%) and headache (35.5%) were the most common clinical features of ICH. Hypertension (69%, smoking (28.5%) and alcohol intake (21.5%) were the most common risk factors. Mortality was 26.5% in present study. Conclusion: ICH was more prevalent in males with older age. Weakness, vomiting and headache were main features associated with ICH. Increasing age, hypertension, diabetes mellitus, alcohol, smoking, hypercholesterolemia were the major risk factor for ICH.