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Factors Influencing Mortality in Hemorrhagic Stroke
Abstract
Background
Mortality in hemorrhagic stroke is very high. The factors influencing it have not been well studied in Africans.
Objectives
The aim of this study was to determine the mortality rate in hemorrhagic strokes and the factors that influence it, such as Glasgow coma scale score and admitting blood pressure.
Methods
Patients with hemorrhagic stroke were evaluated and followed up for 90 days. Admission blood pressure and Glasgow coma scale score were obtained for each patient and these were related to the mortality.
Results
The total number of patients seen was 49. There were 34 males and 15 females with a male: female ratio of 2.3: 1. Overall mortality was 29 patients (59%). The mortality in patients with Glasgow coma scale score >13 was 13.6%, in patients 9 -12 was 50%, in patients 8 and below was 83.3%. Mortality in patients with admitting normal to mild hypertension [DBP 90-99mmhg] was 63.6%, moderate hypertension [DBP100-110] was 25% and severe hypertension [DBP >111mmhg] 61.7%.
Conclusion
In hemorrhagic strokes, mortality is highest in patients presenting with Glasgow coma scale score 8 and below [83.3%] and at the two extremes of blood pressure i.e. normal to mild [63.6%] and severe hypertension [61.7%] respectively. Mortality peaked and was static at 30th day of admission.
Mortality in hemorrhagic stroke is very high. The factors influencing it have not been well studied in Africans.
Objectives
The aim of this study was to determine the mortality rate in hemorrhagic strokes and the factors that influence it, such as Glasgow coma scale score and admitting blood pressure.
Methods
Patients with hemorrhagic stroke were evaluated and followed up for 90 days. Admission blood pressure and Glasgow coma scale score were obtained for each patient and these were related to the mortality.
Results
The total number of patients seen was 49. There were 34 males and 15 females with a male: female ratio of 2.3: 1. Overall mortality was 29 patients (59%). The mortality in patients with Glasgow coma scale score >13 was 13.6%, in patients 9 -12 was 50%, in patients 8 and below was 83.3%. Mortality in patients with admitting normal to mild hypertension [DBP 90-99mmhg] was 63.6%, moderate hypertension [DBP100-110] was 25% and severe hypertension [DBP >111mmhg] 61.7%.
Conclusion
In hemorrhagic strokes, mortality is highest in patients presenting with Glasgow coma scale score 8 and below [83.3%] and at the two extremes of blood pressure i.e. normal to mild [63.6%] and severe hypertension [61.7%] respectively. Mortality peaked and was static at 30th day of admission.
