Predictors of Mortality of Primary Intracerebral Hemorrhage among the Sea Coast Population of South India

¹Associate Professor, department of Neurology, Narayana Medical College and Hospitals, India.

²Department of Neurology, Narayana Medical College and Hospitals, India.

³Department of Endocrinology, Narayana Medical College and Hospitals, India.

Corresponding Author: Natuva Sai Sampath Kumar, Assosciate professor, department of Neurology, Narayana Medical College and Hospitals, Chinthareddypalem, Nellore, AP-524002, India, Tel: +30 2531 039000; E-Mail: [email protected]

Received Date: 01 Oct 2016
Accepted Date: 05 Dec 2016 
Published Date: 09 Dec 2016
Copyright © 2016 Kumar SSN

Citation: Kumar SSN, Gandra S, Thatikonda Ak, Padala RK, et al. (2016). Predictors of Mortality of Primary Intracerebral Hemorrhage among the Sea Coast Population of South India. Mathews J Neurol. 1(1): 005.

ABSTRACT

Background and Purpose: Intracerebral haemorrhage (ICH) is the second most leading cause of stroke, followed by ischemic stroke, particularly Primary Intracerebral Haemorrhage (PICH) which leads to high rates of mortality and morbidity. None of the previous studies revealed the incidence of ICH among sea coast population in India.

Method: The present investigation is carried with an aim to assess the major governing factors among the seacoast population presenting with primary ICH and their outcome. The present prospective study was carried in the department of Neurology at Narayana Medical College & Hospital, Nellore. The research work has been carried out for 1.5 years.

Results: Hypertension was one of the most common modifiable risk factor, observed in most patients with ICH. Mortality rate of PICH was almost 50% observed in the present study. Multivariate analysis of variables revealed that patients presented with pupillary asymmetry, 2D Echo-evidence of left Ventricular Hypertrophy, High systolic blood pressure and low GCS (Glasgow coma Score) at admission and CT (computerized tomography) imaging brain (plain) studies showing high peri-hematomal edema, irregular hematoma border were the major key factors associated with high rates of mortality.

Conclusion: The present study signifies that most of the people residing along the seacoast who presented with PICH were illiterate and under low economic status. Hence the life style modifications and health education were very important preventive key factors to reduce the incidence and mortality of ICH.

KEYWORDS

PICH; Mortality; Hypertension; Predictors.