Probability of mortality in patients with spontaneous intraparenchymal cerebral hemorrhage
Keywords:
cerebrovascular disease; mortality; intensive care unitAbstract
Introduction: Spontaneous intraparenchymal hemorrhage has a high morbidity and mortality worldwide.
Objective: To determine the probability of in-hospital mortality due to spontaneous intraparenchymal cerebral hemorrhage by applying the Intracraneal Hemorrhage Grading Scale (ICH‑GS) score.
Methods: Observational, descriptive, cross-sectional study in the intensive care unit, with a sample of 48 patients, in whom the ICH-GS was applied. Factors studied included age, sex, risk factors, location and volume of the hematoma, extension to the ventricles, Glasgow Coma Scale, ICH-GS, and discharge status. Statistical methods included absolute and relative frequency distributions, measures of central tendency, and chi-square, Fisher’s exact test and Student’s t-tests.
Results: 60.4% of the patients died. There was a significant difference between the average ages of the deceased and those discharged alive (t = 0.01). The male/female ratio was 1.28 men for each woman. The main risk factor was hypertension (89.8%). The Glasgow Coma Scale showed statistical significance when comparing means between deceased and discharged alive (t < 0.0001), while the mean volume of the hematoma did not (p = 0.17); 50% of patients had hematoma extension to the ventricles, 92.3% with a score higher than 10 on the ICH-GS died.
Conclusions: The ICH-GS proved to be a useful tool for stratifying the risk of death during in-hospital care in patients with spontaneous intraparenchymal cerebral hemorrhage.
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Copyright (c) 2026 Alexis Hernández Torres, Yosel Cabrera Álvarez, Alberto García Gómez, Anadamia Abreu Rill, Olga Rosa Folgoso Dimajín, Eglis Fernández Castillo
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