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• W2884551481 abstract "INTRODUCTION:Cerebrovascular diseases rank first in frequency and important among allneurologic diseases. It is the second cause of mortality in the World. A strokeor cerebrovascular accident is defined by the abrupt onset of a neurologic deficitthat is attributable to a focal vascular cause.80% of stroke is ischaemic and remaining 20% is due to haemorrhage.Intracranial haemorrhage includes:1. Intraparenchymal haemorrhage,2. Intraventricular haemorrhage,3. Subarachnoid haemorrhage.There is 2 – 3 fold increased risk of intraparenchymal haemorrhage inAsians and Blacks.Many controversies surround the management of patients with ICH inlarge part because of paucity of prospective randomized controlled trial data thatmight more rationally guide therapy. These controversies include managementof hypertension, treatment of raised ICP and appropriate use of surgicaltechniques. Since there is no sufficiently efficacious therapy for haemorrhageinduced cerebral injury, prevention is the mainstay of treatment particularlyhypertension. It is appropriate to think in terms of pathophysiology to guidemanagement decisions. It would be useful, therefore, to know something aboutthe time, course and prognosis of ICH.Various factors have been identified as predicting outcome including age,gender, race, initial MAP, temperature, volume of bleed, site of bleed,intraventricular extension, mass effect and initial level of consciousness.This study is done to evaluate and discuss the significances of variousfactors in predicting 30 day mortality and morbidity of patients with nontraumaticintraparenchymal haemorrhage in hypertension and non-hypertensionhaemorrhage stroke.AIM OF THE STUDY:1. To evaluate the prognostic factors in predicting 30 day outcome inpatients with non traumatic intraparenchymal haemorrhage admitted tomedical wards in the Government General Hospital, Chennai.2. To find out the prognostic significance of:a. Age,b. Temperature,c. Mean arterial pressure,d. GCS score at admission,e. Volume of Bleed,f. Location of Bleed,g. Intraventricular haemorrhage.in predicting 30 day outcome assessed by NIHSS score in patientswith non-traumatic intraparenchymal haemorrhage admitted to themedical wards in the Government General Hospital, Chennai.3. To compare the results with that one reported in literature.MATERIALS AND METHODS:All patients with acute stroke admitted in the medical ward ofGovernment General Hospital, Chennai from April 2009 to July 2009 wereinvestigated for haemorrhagic stroke by obtaining a CT brain.Inclusion Criteria:Patients with non traumatic intraparenchymal haemorrhage admitted tomedical wards.Exclusion Criteria:1. Patients with history of Trauma2. Patients with suh arachnoid haemorrhage alone3. Patients with intraventricular haemorrhage alone4. Patients with previous history of intraparenchymal haemorrhageThe following data were collected from the patients.1. Age,2. Temperature in °F at admission,3. Mean arterial pressure. This is calculated by:a. Mean arterial pressure = Diastolic pressure + 1/3 pulse pressure.4. Glassgow coma score at admission to assess the severity of the bleed.CT brain was done on the day of admission and the following datawere collected.5. Volume of Bleed,6. Location of Bleed,7. Presence / Absence of Intraventricular haemorrhage.CONCLUSION:•Age, Gender, Temperature do not have a significant role indetecting the 30 day mortality rate in patients with IPH.i) Volume of Bleed,ii) GCS at admission,iii) Presence of IVH,iv) Mean Arterial Pressure,have a significant role in detecting the 30 day mortality in IPHpatients.• Location of bleed at sites other than Brainstem did not have adifference in mortality in this study. Studies with larger number ofpatients with different locations of Bleed may throw some light onthis aspect•A case of stroke with ICH with MAP 8,Volume of Bleed < 30ml, in the absence of IVH has 80% chanceof survival after 30 days with the best NIHSS score.•Early detection of HT and prompt management can prevent theoccurrence of event." @default.
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• W2884551481 date "2010-03-01" @default.
• W2884551481 modified "2023-09-27" @default.
• W2884551481 title "Prognostic Predictors of 30 day Outcome in Patients with Non Traumatic Intraparenchymal Haemorrhage" @default.
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