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Submitted: 05 February 2014 Modified: 13 June 2014
HERDIN Record #: R04A-DLSHSI-14020508415854

Clinical and ECG Parameters as Predictors of Early Neurological Deterioration (END) and In-Hospital Mortality After Acute Hemorrhagic Stroke: A Hospital-Based Retrospective Cohort


Background: Identification of outcome predictors in stroke remains important for the application of early aggressive treatment and establishment of a reliable prognosis.

Objective: To determine the clinical characteristics of Filipino patients with hemorrhagic stroke and identify parameters that predict END and death.
Methods: Charts of hemorrhagic stroke patients that met the inclusion criteria were reviewed. Data on admission were recorded. CSS/GCS on the first 3 hospital days and mortality at any time during hospital stay were also recorded.

Results: 88 patients were included (49 male), mean age was 56.7+12.9. The most common presenting symptom was hemiparesis (29.5%), and the most common location was striatocapsular (31.8%). Forty nine patients (55.7%) had severe stroke and 31 (35.2%) had severe impairment of consciousness. Fifty six patients (67%) had ECG abnormalities. The incidence of END was 38.6% (95%CI 28.9, 49.1), while in-hospital mortality rate was 29.5% (95% CI 20.7, 39.7).

Conclusion: Independent predictors of in-hospital death were high SBP, severe stroke, IV extension and SAH. Independent predictors of END were high SBP, severe stroke and leukocytosis. In hemorrhagic stroke, the ECG score has a role in risk stratification and that aggressive SBP reduction on admission may reduce the occurrence of END and in-hospital mortality.

Objectives

Objective: To determine the clinical characteristics of Filipino patients with hemorrhagic stroke and identify parameters that predict END and death

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