EVALUATE VARIOUS FACTORS RELATED TO MORTALITY IN PATIENTS AFFECTED BY HYPERTENSIVE CEREBELLAR HEMORRHAGE

Sohrab Sadeghi, Masoud Hatefi, Aryoobarzan Rahmatian, Hassan Reza Mohammadi

Abstract


Background: Hypertension is the most common cardiovascular disease that often causes stroke. The objectives of this study were, to evaluate the effects of level of consciousness, volume of hematoma, time interval between diagnosis and surgery and systolic blood pressure with mortality due to hypertensive cerebellar hemorrhage.

Materials & Methods: In this descriptive study, all patients who underwent surgery rom 1st January 2021 to 31st December 2021 due to cerebellar HTN hemorrhage in Imam Khomeini Hospital were investigated. After performing neurological examinations and determining the level of consciousness using the GCS criteria in all patients, brain CT-scan was performed. The indication for surgery was determined based on clinical examination and CT findings. The demographic and research variables were noted on preformed proforma. Data analysis was carried out using the descriptive in SPSS ver. 16.

Results: Total 25 patients were included in this study, in which 16 were female and 23 were older than 50 years age. Regarding the disease outcome, death occurred in 1 man and 10 women and similarly death occurred in 1 patient under 50 years of age, and 10 in patients over 50 years old. There was no relationship between M (SD) of systolic blood pressure and hematoma volume with mortality (P>0.05), but the mortality rate was higher in patients with longer diagnosis-to-surgery interval and those with a lower level of consciousness (p-value 0.001).

Conclusion: Patients with cerebellar hematoma should be operated early, as delay can lead to increased mortality.


Keywords


Hypertension; Outcomes; Hypertension cerebellar.

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DOI: https://doi.org/10.46903/gjms/21.04.1316

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