Research Article

Clinical Profile and Predictors of Outcome in Spontaneous Intracerebral Hemorrhage from a Tertiary Care Centre in South India

Table 1

Demographic, etiological, clinical and radiological characteristics of patients with outcome and mortality. GCS—glasgow coma Score, ICH—intracerebral hemorrhage, IVE—intraventricular haemorrhage, EVD—external ventricular drain.

Alive (619)Dead (266)Good outcome (412)Poor outcome (207)

Demographics
Age (years)58.10 ± 12.7656.65 ± 12.3361.64 ± 13.17<0.00156 ± 12.2557.94 ± 12.420.06
Sex
Male638 (70.5%)435 (69.5%)191 (30.5%)0.687284 (65.3%)151 (34.7%)0.351
Female267 (29.5%)184 (71%)75 (29%)128 (69.6%)56 (30.4%)
Etiology
Hypertension523 (57.7%)350 (68.2%)163 (31.8%)0.207226 (64.6%)124 (35.4%)0.264
Irregular treatment190 (21%)124 (66.3%)63 (33.7%)0.34686 (69.4%)38 (30.6%)0.111
Duration5.23 ± 4.645.16 ± 4.895.58 ± 4.180.4794.87 ± 5.35.7 ± 3.80.251
Diabetics245 (27.1%)170 (71.7%)67 (28.3%)0.508113 (66.5%)57 (33.5%)1
Duration7.18 ± 4.696.76 ± 4.177.92 ± 5.,840.3086.24 ± 4.057.50 ± 4.320.202
Smoking134 (16.9%)87 (66.4%)44 (33.6%)0.12247 (54%)40 (46%)0.001
Alcohol276 (30.5%)193 (71.2%)78 (28.8%)0.803119 (61.7%)74 (38.3%)0.068
Previous stroke84 (9.3%)51 (62.2%)31 (37.8%)0.12831 (60.8%)20 (39.2%)0.355
On antiplatelets83 (9.2%)46 (56.8%)35 (43.2%)0.00730 (65.2%)16 (34.8%)0.871
Clinical features
Heart rate (bpm)82.19 ± 16.4480.36 ± 15.3486.21 ± 17.91<0.00180.03 ± 15.5581.02 ± 14.930.449
Systolic BP (mmHg)175.09 ± 59.08172.77 ± 67.82180.41 ± 32.710.08172.94 ± 80.95172.42 ± 26.940.928
Diastolic BP(mmHg)99.49 ± 14.0298.81 ± 13.44101.07 ± 15.440.02998.20 ± 13.6100.01 ± 13.080.115
GCS (median)12 (8–14)<0.001
GCS <8233 (25.7%)77 (33.5%)153 (66.5%)<0.00127 (35.1%)50 (64.9%)<0.001
ICH score (median)1 (1-2)1 (0–2)3 (2-3)<0.0011 (0-1)2 (1-2)<0.001
Blood glucose (mg/dl)162.49 ± 69.05152.81 ± 61.76185.58 ± 78.01<0.001147.25 ± 57.47164.06 ± 68.420.001
Imaging data
Volume (ml)21.86 ± 19.2017.55 ± 15.5932.45 ± 24.39<0.00113.96 ± 10.9324.72 ± 17.96<0.001
Side
Right417 (46.1%)301 (72.9%)112 (27.1%)0.001203 (67.4%)98 (32.6%)0.531
Left430 (47.5%)289 (69.5%)127 (30.5%)190 (65.7%)99 (34.3%)
Midline (cerebellar, brain stem and IVH)50 (5.5%)28 (58.3%)20 (41.7%)19 (67.9%)9 (32.1%)
Bilateral8 (0.9%)1 (12.5%)7 (87.5%)0 (0%)1 (100%)
Supratentorial hemorrhage
Volume23.45 ± 19.7943.3 ± 13.8952.7 ± 21.10<0.00140.23 ± 10.3144.97 ± 15.300.021
Volume >30 ml234 (25.85%)108 (46.4%)125 (53.6%)38 (35.2%)70 (64.8%)
Infratentorial hemorrhage
Volume10.27 ± 6.499.07 ± 6.7712.11 ± 5.720.4928.82 ± 5.959.78 ± 8.960.038
IVE425 (47%)241 (57.8%)176 (42.2%)<0.001137 (56.8%)104 (43.2%)<0.001
Hydrocephalus236 (26.1%)111 (48.3%)119 (51.7%)<0.00166 (59.5%)45 (40.5%)0.095
Hematoma Growth46 (5.08%)24 (52.2%)22 (47.8%)0.00712 (50%)12 (50%)0.121
Surgery
EVD56 (6.2%)23 (41.8%)32 (58.2%)<0.00113 (56.5%)10 (43.5%)0.367
Clot evacuation147 (16.8%)106 (72.1%)41 (27.9%)0.62136 (34%)70 (66%)<0.001