Clinical outcome in cases of hypertensive intra-cerebral haemorrhage in relation to size of haemorrhage

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dc.contributor.authorKumar Singh, Aen_US
dc.contributor.authorKumar, Aen_US
dc.contributor.authorKumar Verma, Ven_US
dc.contributor.authorUraiya, Den_US
dc.date.accessioned2020-09-24T07:53:59Z
dc.date.available2020-09-24T07:53:59Z
dc.date.issued2019-02
dc.description.abstractIntroduction: Stroke is amongst the leading causes of death exceeded only by heart disease and cancer. Those who survive are usually left with permanent disability. Cerebral infarction is responsible for about 80 percent of all strokes, primary intra-cerebral haemorrhage for 10 percent, subarachnoid haemorrhage for 5 percent and 5 percent cases are due to uncertain causes. Predictors of prognosis in primary intraparenchymal haemorrhage have been evaluated in numerous studies. Objective: To observed the effect of different sizes of hematoma and utilizing them, if feasible as a marker of prognostic significance. Material and methods: In this study we observed 60 patients from the time of admission till 30th day in various wards of Department of Medicine RIMS with hypertensive intra-cerebral haemorrhage, during the period of 2008-2009. A simple method of measuring the volume of haematoma (in cc) on the CT scan is by using the following formula: A*B*C A = longest diameter of the haematoma (in cm.), B = Diameter perpendicular to A (in cm.), C = Height (in cm) which is measured by No. of slices showing the haematoma x thickness of each slide. Result: Total 60 patient were taken into study out of which 33(55%) were alive and 27(45%) were dead in 30 days follow up. In our study, 38 were male and 22 were female out of 38 male 22(66.66%) were alive and 16 (59.2%) dead and in 22 female 11(33.33%) were alive and 11 (40.7%) were dead. Outcome with volume of ICH using the χ2 had shown significant correlation (p < 0.005) with GCS at the time stroke onset (P<0.01), IVH/VE (P<0.01), midline shift test (P<0.01), B.P. at the time of admission (P<0.01). Conclusion: In these study patients with hematoma volume exceeds 60 cm3, the mortality was 100%. Mean volume of hematoma in our study was 35.21 cm3.en_US
dc.identifier.affiliationsAssistant Professor, Department of Medicine, Heritage Institute of Medical Science Varanasi, U.P., Indiaen_US
dc.identifier.affiliationsAssociate Professor, Department of Medicine, Hind Institute of Medical Science Safedabad Barabanki, U.P., Indiaen_US
dc.identifier.affiliationsAssociate Professor, Department of Medicine, Hind Institute of Medical Science Safedabad Barabanki, U.P., Indiaen_US
dc.identifier.affiliationsAssociate Professor, Department of Medicine, Hind Institute of Medical Science Safedabad Barabanki, U.P., Indiaen_US
dc.identifier.citationKumar Singh A, Kumar A, Kumar Verma V, Uraiya D. Clinical outcome in cases of hypertensive intra-cerebral haemorrhage in relation to size of haemorrhage. International Journal of Medical Research & Review. 2019 Feb; 7(1): 13-18en_US
dc.identifier.issn2320-8686
dc.identifier.issn2321-127X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/205261
dc.languageenen_US
dc.publisherSiddharth Health Research and Social Welfare Societyen_US
dc.relation.issuenumber1en_US
dc.relation.volume7en_US
dc.source.urihttps://ijmrr.medresearch.in/index.php/ijmrr/article/view/1029en_US
dc.subjectStrokeen_US
dc.subjectIntra-cerebral haemorrhageen_US
dc.subjectGCSen_US
dc.subjectHaematomaen_US
dc.titleClinical outcome in cases of hypertensive intra-cerebral haemorrhage in relation to size of haemorrhageen_US
dc.typeJournal Articleen_US
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