Assessment of patients with hypertensive intracerebral hemorrhage at a tertiary care hospital, Pakistan

ABSTRACT

The assessment of outcome in admitted patients with hypertensive intracerebral hemorrhage in a tertiary care hospital on the basis of GCS and CT scan.The cases of hypertensive intracerebral hemorrhage admitted to neurosurgery department of a tertiary care hospital during the year 2004 were included in the study. Those with cerebral infarction, recurrent hematoma, or hemorrhage due to non-hypertensive causes were excluded. The parameters assessed included age and sex of the patient, associated comorbids like DM and IHD, GCS on admission, CT scan findings, management and outcome. A total of 84 cases with hypertensive bleed were analyzed, of which 52 [62%] were between 30-60 years and 32 [38%] were more than 60 years of age with equal sex distribution. Statistically significant association was observed between co-morbidity and outcome of patients [p 0.00 1], between CT scan findings and management [p 0.006], between management and outcome [p=0.02]. Management and outcome of hypertensive ICH is dependent on multiple factors like age of the patient, co-morbidity, CT scan findings and GCS. These are some of the direct predictors of assessing ICH. The aim should be to prevent such incidents secondary to hypertension