30-days’ outcome of haemorrhagic stroke: correlation between intracerebral hemorrhage score and modified Rankin score

Authors

  • AH Sarder Assistant Professor, Department of Neurology, Khulna Medical College, Khulna
  • BK Das Assistant Professor, Department of Neurology, Khulna Medical College, Khulna
  • KJ Mondal Registrar, Department of Medicine, Khulna Medical College, Khulna
  • MA Kabir Assistant Professor, Department of Medicine, Gazi Medical College, Khulna
  • B Basu Professor, Department of Medicine, Gazi Medical College, Khulna
  • MM Alam Assistant Professor, Department of Neurology, M Abdur Rahim Medical College, Dinajpur

DOI:

https://doi.org/10.3329/mediscope.v5i1.36720

Keywords:

haemorrhagic stroke, 30-days’ outcome, ICH score, modified Rankin score, correlation.

Abstract

Intracerebral hemorrhage (ICH) constitutes 10% to 15% of all strokes. Within 30 days reported mortality is 35-52% and only 20% is functionally independent in 6 months. Despite several existing outcome prediction models for ICH, modified Rankin scale is found to be best predictor of outcome in early and long term period. To find out 30-day mortality in ICH and predict outcome based on modified Rankin score. In this study, 48 patients presenting with acute ICH presenting to a tertiary hospital in Khulna were enrolled. The 30-day mortality and disability were recorded, and ICH score along with modified Rankin score at presentation were calculated. In this study, the 30-day mortality rate was 27.1%; regression analysis showed the correlation between the scores (as measured by modified Rankin scale) for patient disability, intraventricular hemorrhage, the Glasgow Coma score, and volume of hematoma (>30 ml vs <30 ml) were significantly correlated with corresponding ICH scores. The ICH scale is a simple clinical grading scale which can predict mortality as well as disability in haemorrhagic stroke within 30 days that can be helpful to physicians in prioritization of their patient management and forecasting about prognosis.

Mediscope Vol. 5, No. 1: Jan 2018, Page 10-14

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Author Biography

AH Sarder, Assistant Professor, Department of Neurology, Khulna Medical College, Khulna



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Published

2018-06-04

How to Cite

Sarder, A., Das, B., Mondal, K., Kabir, M., Basu, B., & Alam, M. (2018). 30-days’ outcome of haemorrhagic stroke: correlation between intracerebral hemorrhage score and modified Rankin score. Mediscope, 5(1), 10–14. https://doi.org/10.3329/mediscope.v5i1.36720

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Section

Original Articles