Clinical Characteristics and Outcomes of Patients with Intracerebral Hemorrhage - A Feasibility Study on Romanian Patients

• Published in: Journal of medicine and life Vol. 13; no. 2; pp. 125 - 131
• Main Authors: Radu, Razvan Alexandru, Terecoasa, Elena Oana, Tiu, Cristina, Ghita, Cristina, Purcaru, Larisa Irina, Marinescu, Andreea Nicoleta, Bajenaru, Ovidiu Alexandru
• Format: Journal Article
• Language: English
• Published: Romania Carol Daila University Foundation 01-04-2020; Carol Davila University Press
• Subjects: Age; Age Distribution; Aged; Blood pressure; Cardiovascular disease; Cerebral Hemorrhage - etiology; Cerebral Hemorrhage - mortality; Cerebral Hemorrhage - therapy; Coma; Diabetes; Etiology; Feasibility Studies; Female; Hematoma; Hematoma - complications; Hemorrhage; Hospitalization; Hospitals; Humans; Hypertension; Male; Medical imaging; Medical records; Middle Aged; Mortality; Original; Population; Risk Factors; Romania; Software; Stroke; Treatment Outcome; Womens health; Romania; CAA = Cerebral amyloid angiopathy; NIHSS = National Institute of Health Stroke Scale; ICH-Prognosis; ICH-volume; ICH-etiology; outcome; GCS = Glasgow coma score; ICH; mRS = modified Rankin score
• DOI: 10.25122/jml-2020-0042
• EISSN: 1844-3117
• ISSN: 1844-122X; 1844-3117

Intracerebral hemorrhage is a significant public health problem, as it is a disease associated with overwhelming mortality and disability. We performed a retrospective feasibility study of patients admitted with acute intracerebral hemorrhage in our department for four months. Our aims were to identify peculiarities of the risk factors, demographic and clinical characteristics of intracerebral hemorrhage patients from our population, to estimate a feasible recruitment rate for a larger prospective study of patients with intracerebral hemorrhage and to analyze and correct potential drawbacks in the methodology of a more extensive prospective study of patients with intracerebral hemorrhage hospitalized in our department. During the study period, we admitted 53 patients with intracerebral hemorrhage in our department. The mean age of the patients was 69.1 years, and 53% were men. Arterial hypertension was the most common etiologic factor leading to intracerebral hemorrhage. 50.01% of patients died during hospitalization, 31.19% were discharged with significant disability, and 18.8% had a favorable short-term outcome. Higher hematoma volumes, male sex, deep location of the hemorrhage, and age between 51 and 60 years were factors associated with an unfavorable short-term outcome.