The determinant of poor prognostic factors in patients with primary intracerebral hemorrhage

Authors

  • Rizaldy Taslim Pinzon Faculty of Medicine Duta Wacana Christian University, Jl. Dr. Wahidin Sudirohusodo 5–25, Yogyakarta 55224,Indonesia
  • Andra Kurniawan Faculty of Medicine Duta Wacana Christian University, Yogyakarta

DOI:

https://doi.org/10.21276/apjhs.2017.4.4.37

Keywords:

Clinical predictor, Intracerebral hemorrhage stroke, Mortality, Prognosis

Abstract

Background: Stroke is leading cause of death in Indonesia. The mortality rates of patients’ hemorrhage stroke are higher than
ischemic stroke. The understanding of prognostic factors can help the clinician for further management. The previous studies of a
prognostic factor for hemorrhagic stroke in Indonesia are still very limited. Aim: The aim of this study is to measure determinant
factors of mortality in patients with primary intracerebral hemorrhage. Methods: A nested case–control method is used in this
study. The study subjects were obtained from the stroke registry from stroke unit at Bethesda Hospital Yogyakarta between 2015
and 2017. Data were analyzed using univariate, bivariate, and multivariate logistic regression analysis. Results: The data obtained
from 128 intracerebral hemorrhage stroke patients which consist of 74 males (57/8%) and 54 females (42.2%). This study showed
that significant prognostic factors are level of consciousness (Glasgow Coma Scale level ≤8) (OR: 22.41, 95% confidence interval
[CI]: 4.461-112.587, P < 0.001), leukocyte count (odds ratio [OR]: 4.894, 95% CI: 1.480–16.179, P = 0.009), and the presence of
complications (OR: 3.502, 95%CI: 1.103–11.117, P = 0.033). Conclusion: This study showed that unconsciousness, high leukocyte
count, and the presence of complications will increase the risk of inhospital mortality.

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Author Biographies

Rizaldy Taslim Pinzon, Faculty of Medicine Duta Wacana Christian University, Jl. Dr. Wahidin Sudirohusodo 5–25, Yogyakarta 55224,Indonesia

Department of Neurology

Andra Kurniawan, Faculty of Medicine Duta Wacana Christian University, Yogyakarta

Department of Neurology, 

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Published

2017-12-30

How to Cite

Rizaldy Taslim Pinzon, & Andra Kurniawan. (2017). The determinant of poor prognostic factors in patients with primary intracerebral hemorrhage. Asian Pacific Journal of Health Sciences, 4(4), 163–167. https://doi.org/10.21276/apjhs.2017.4.4.37