Volume 24, Issue 102, March - April, 2020

Clinical spectrum of patients with Intracranial Hemorrhage at rural teaching hospital

Nitin Raisinghani¹, Amit Gupta^2♦, Sunil Kumar¹, Sourya Acharya¹, Mahajan SN³

¹Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha, Maharashra, India
²Department of Pulmonary Medicine, Geetanjali medical college, Udaipur, India.
³3Department Of Medicine Pravara Institute Of Medical Sciences (Deemed University), Loni, Ahmednagar, Maharashtra, India

^♦Corresponding author
Amit Gupta, Assistant Professor, Department of Pulmonary Medicine, Geetanjali medical college, Udaipur, India. Email: amitgupta86@yahoo.in, nitinraisinghani123@gmail.com

ABSTRACT

Background: Intracranial Hemorrhage; despite being a public health concern of such significant proportions; its incidence, risk factors and outcomes have not been studied systematically in India. Methods: In this hospital based cross-sectional study, 75 adult cases of non-traumatic intracranial hemorrhage were enrolled for clinical profiling using various relevant parameters over the period of 2 years. The subjects were followed up after 30 days from the date of admission for outcome assessment. Results: Hypertension (41, 54.7%) was the most commonly observed risk factor. The commonest presenting symptoms were hemiplegia (66.7%), loss of consciousness (58.7%) and headache (53.3%). The commonest site of bleed was Basal Ganglia (50.66%) followed by cortex (33.33%); the mortality rate being higher in cortical bleed (64%) than in basal ganglia bleed (28.9%). The mortality rate of patients went up with the scores of MRS; while lower the Barthel’s score on admission, higher was the reported mortality. Conclusion: GCS, MRS and Barthel’s score are good prognostic markers in stroke patients and could be used to evaluate long term outcomes.

Keywords: Intracranial hemorrhage, clinical profile, prognostic markers, outcome

Medical Science, 2020, 24(102), 503-508

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