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

Background: Stroke is leading cause of death in Indonesia. The mortality rates of patients’ hemorrhage stroke are higher thanischemic stroke. The understanding of prognostic factors can help the clinician for further management. The previous studies of aprognostic factor for hemorrhagic stroke in Indonesia are still very limited. Aim: The aim of this study is to measure determinantfactors of mortality in patients with primary intracerebral hemorrhage. Methods: A nested case–control method is used in thisstudy. The study subjects were obtained from the stroke registry from stroke unit at Bethesda Hospital Yogyakarta between 2015and 2017. Data were analyzed using univariate, bivariate, and multivariate logistic regression analysis. Results: The data obtainedfrom 128 intracerebral hemorrhage stroke patients which consist of 74 males (57/8%) and 54 females (42.2%). This study showedthat 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 ofcomplications (OR: 3.502, 95%CI: 1.103–11.117, P = 0.033). Conclusion: This study showed that unconsciousness, high leukocytecount, and the presence of complications will increase the risk of inhospital mortality