Primary intracerebral haemorrhage in Malaysia

in-hospital mortality and outcome in patients from a hospital based registry

S. F. Sia, K. S. Tan, V. Waran

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Primary intracerebral haemorrhage (ICH) results in significant morbidity and mortality among patients. There is a paucity of epidemiological data on this condition in Malaysia. The purpose of this hospital based study was to define the clinical profile in patients with primary spontaneous intracerebral haemorrhage at University of Malaya Medical Centre (UMMC) and to determine the mortality rate of intracerebral haemorrhage at the time of discharge, the prognostic factors and one year outcome of this cohort of patients. Sixty-six patients were admitted at the Neurosurgical unit of University of Malaya Medical Centre for a period of 13 months from March 2002 to March 2003. Fifty percent of the subjects were female. The mean age was 61.6±16.7 years. Among our patients with intracerebral haemorrhage, the common risk factors were: hypertension (80.3%), diabetes mellitus (25.7%) and smoking (27.2%). Common presenting features for our series were: weakness (61.8%), LOC (58.5%), headache (56.3%) and speech disturbances (45.3%). On neuroimaging, the lesions were seen in basal ganglia/thalamus (45.1 %), lobar (32.9%), brainstem (13.4%) and cerebelli (8.5%). The overall 30 days mortality rate for intracerebral haemorrhage (ICH) was 43.9%. The important predictors of for mortality were the GCS score on admission (p<0.0001), haematoma volume>30mls (p<0.0001), evidence of intraventricular extension (p=0.011) and ICH score (p<0.0001). At one year follow up, 48.5% (n=32) were dead, 33.3% (n=11) obtained good recovery, 36.4% (n=12) moderate disability, 18.2% (n=6) severe disability and 3% remain vegetative state. The overall mortality rate for our series of patients with primary intracerebral haemorrhage is quite similar to previously published epidemiological studies. ICH scoring is useful in the prognostication.
Original languageEnglish
Pages (from-to)308-312
Number of pages5
JournalMedical Journal of Malaysia
Volume62
Issue number4
Publication statusPublished - 2007
Externally publishedYes

Keywords

  • primary intracerebral haemorrhage
  • clinical profile
  • ICH score
  • outcome
  • Malaysia

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