Background: Intracerebral hemorrhage accounts for 10 to 15 percent of all cases of stroke and is associated with the highest mortality rate. Once an ICH occurs, the most efficient way to localize the hemorrhage is Computed
Tomography. Hypertensive hemorrhages appear on CT as areas of high density with sharply defined borders. According to previous studies, the mortality rate six months after spontaneous ICH ranges from 23 to 58 percent. A low score on the Glasgow Coma Scale, a large volume of the hematoma, and the presence of ventricular blood on the initial CT scan are factors that have been consistently identified as predictive of a high mortality rate. This study was conducted to determine the predictors of mortality based on the CT scan finding of patient admitted due to hypertensive intracerebral hemorrhage at the Philippine Heart Center.
Methods: This was a retrospective cohort study involving 124 patients with hypertensive intracerebral hemorrhage
(HICH) on their CT scan. Their plates and medical records were reviewed together. The following items were analyzed in each patient in order to determine the predictors of mortality with HICH patient: age, sex, status, occupation, co-morbidities, years of hypertension, blood pressure, hospital stay, management, outcome, presence of midline shift! herniation, intraventricular and subarachnoid hemorrhage, hydrocephalus and hematoma volume in there et scan result. Independent predictors of mortality were determined using univariate and multivariate analysis.
Results: Using univariate analysis the following parameters shows significant result (p< 0.05); age, duration of
hypertension (years), occupation, hospital stay and the presence of subarachnoid hemorrhage in the CT.scan result. We then use the five parameters that give significant result using the multivariate analysis and only one showed significant value which was the presence of subarachnoid hemorrhage in the CT scan (p=0.0358), that gives three (3) times higher risk of dying in patient with HICH.
Conclusion: The presence of subarachnoid hemorrhage in the CT scan findings of patient admitted due to HICH
gives three times higher risk of dying to the patient, thus a good predictor of mortality.