International Journal of Medical and All Body Health Research  |  e-ISSN: 2582-8940  |  Double-Blind Peer Review  |  Open Access  |  CC BY-NC-SA 4.0

Current Issues
     2026:7/4

International Journal of Medical and All Body Health Research

e-ISSN: 2582-8940 | Open Access

Prognostic Indicators in Patients with Intracerebral Hematoma in an urban clinical setting of a resource limited Country

Hugues Ghislain Atakla, Fatoumata Lounceny Barry, Mahugnon Maurel Ulrich Dénis Noudohounsi, Benjamin Bekoe Ofosu, Sulaimi Sulemana Ummi, Dismand Stephan Houinato

Department of Neurology, University Hospital Center Hubert Koutoukou MAGA, Cotonou, Benin Laboratory of Noncommunicable and Neurologic Diseases Epidemiology, Faculty of Health Science, University of Abomey- Calavi, Cotonou, Benin; Neurosurgery Department, University Hospital Center, Conakry, Guinea; Monitoring and evaluation/WHO AFRO, Research Project Manager, Brazzaville, Congo; Intensive Care Unit, MAB International Clinic, Accra, Ghana; Department of Neurology, University Hospital Center Hubert Koutoukou MAGA, Cotonou, Benin Intensive Care Unit, MAB International Clinic, Accra, Ghana

Article Information

Volume / Issue2 / 1 (January-March 2021)
Pages05-09
AccessOpen Access

Publication Timeline

  • Received01 January 2021
  • Accepted17 January 2021

Full Text (PDF)

Open Access - Free to Download

Download Full Article (PDF) JATS XML

Abstract

Context and Objective: Hemorrhagic Cerebrovascular Accident represents 10 to 15% of all strokes and are often related to the spontaneous rupture of small vessels weakened by chronic arterial hypertension, amyloid angiopathy, tumor bleed, arteriovenous malformation (AVM), and coagulopathies. The aim of this study was to determine probable prognostic indicators in functional outcomes of patient with ICH.rnPatients and Method: This was a retrospective analytical study of all patients (men and women, of all ages) who were hospitalized at the Neurology Department of the University Hospital of Conakry for an intracerebral hematoma over the 24-month period. Only the records of patients in whom intracerebral hematoma was confirmed by brain imaging were included in this study. The variables studied were epidemiological, clinical, and paraclinical. Therapeutic, evolutionary and prognostic variables were also taken into account. Logistic regression (univariate and multivariate) was used to identify the prognostic determinants of intracerebral hematomas at p < 0.05. Data were entered using Epi Info software version 7.1.4.0 and then analyzed using STATA/SE software version 11.2.rnResults: We collected 105 cases of spontaneous cerebral hematomas confirmed by brain imaging, i.e. a frequency of 21%. Both sexes were found, with a male predominance of 60% and a sex ratio of 1.50. Arterial hypertension was identified as the cause in 94 patients (89.52%) out of the 105 patients analyzed in this series, followed by arteriovenous malformations in 6.67% of the patients, 2.86% of cases of amyloid angiopathy and 0.95% of unknown cause. During the hospitalization of the patients, we recorded 20% of deaths.rnConclusion: Previous quality of life, comorbidities affects the prognostic course in patient with ICH and should be taken into account in the prediction of disability and future quality of life of patients with intracerebral hematoma.

Keywords

PrognosisIntracerebral hematomasLimited health resourcesGuinea

References

  1. Qureshi A, Tuhrim S, Broderick JP, et al. Spontaneous intracerebral hemorrhage. N Engl J Med. 2001; 344(19):1450-60. doi: 10.1056/NEJM200105103441907. [Google Scholar][Crossref]
  2. Basse AM, Sow AD, Toure K, et al. Épidémiologie de l’accident vasculaire cérébral hémorragique chez les patients hospitalisés à la clinique neurologique du CHU de Fann (Dakar). Revue neurologique. 173 S(2017) S81– S132 [Google Scholar][Crossref]
  3. Crozier S, Traitement des hémorragies Cérébrales. Service urgences cérébrovasculaires. Groupe hospitalier Pitié-Salpêtrière. Paris (75) tome 36- n°1 jan 2007. [Google Scholar][Crossref]
  4. Hamon M, Leclerc X, Oppenheim C, Gauvrit Jy., Meder Jf. Pruvo JP. Sémiologie TDM et IRM des hématomes intracérébraux: évolution chronologique. Rev Neurol (Paris) 2005, 161:10,997-1006. Doi: RN-10-2005-161-10-0035-3787-101019-200505313 [Google Scholar][Crossref]
  5. Hermitte Y, Do-Esposito S, Foudi H, Tazarourte K. Accident vasculaire cérébral hémorragique. 53 congrès national d’anesthésie et de réanimation. Infirmiers. Infirmier (e)s d’urgence, 2011. Sfmu [Google Scholar][Crossref]
  6. Chung CS, Caplan LR, Han W, et al. Thalamic hemorrhage. Brain. 1996; 119(Pt 6):1873-86. doi: 10.1093/brain/119.6.1873 [Google Scholar][Crossref]
  7. Kumral E, Kocaer T. Thalamic hemorrhage A prospective study of 100tients. Stroke. 1995; 26(6):964-70. doi: 10.1161/01.str.26.6.964 [Google Scholar][Crossref]
  8. Mayer SA, Rincon F. Treatment of intracerebral hemorrhage. Lancet Neurol. 2005; 4(10):662-72. doi: 10.1016/S1474-4422(05)70195-2. [Google Scholar][Crossref]
  9. Agency for Health Care Policy Research. Post-stroke rehabilitation: assessment, referral, and patient management. Quick reference guide for clinicians. Rock-ville (MD): AHCPR; 1995. [Google Scholar][Crossref]
  10. Duncan P, Lai S, Van Culin V, et al. Development of a comprehensive assessment toolbox for stroke. Clin Geriatr Med. 1999;15(4):885-915. [Google Scholar][Crossref]
  11. Teitelbaum J, Scarborough F, et François S. Le Médecin du Québec. 2006; 41:6. [Google Scholar][Crossref]
  12. Morgensen LB, Anderson G, Hemphill, et al. Guidelines for the management of spontaneous Intracerebral. Stroke 2010; 41:2108 -2129. https://doi.org/10.1161/STR.0b013e3181ec611b [Google Scholar][Crossref]
  13. Bilongo-Manene B. Mortalité et morbidité des AVC dans le service d’anesthésie réanimation du CHU Gabriel Touré. These, Med, Bamako, 2007, n°137. [Google Scholar][Crossref]
  14. Sene Diouf F, Mapoure NY, Ndiaye M, et al. Pronostic des hémorragies intracérébrales avec coma dans une unité de neuroréanimation tropicale. Med Trop 2008; 68:606-610. [Google Scholar][Crossref]
  15. Cisse FA, Balde AT, Sakadi Foksouna et al. Hématomes intracérébraux: 129 cas observés au service de neurologie du CHU de Conakry. revue neurologique 174 2018, S55-S108 [Google Scholar][Crossref]
  16. Kanté M. Pronostic des hématomes intracérébraux spontanés au service de neurologie de l’hôpital Ignace Deen. thèse de doctorat en médecine service de neurologie CHU Conakry, 2014. [Google Scholar][Crossref]
  17. Lelo Tshikwela M, Longo-Mbenza B. Accident vasculaire cérébral hémorragique du noir africain: caractéristiques scanographiques des hématomes intracérébraux à Kinshasa. J Afr Imag Méd. 2011; (4)7:355-362. DOI: 10.11604/pamj.2015.21.160.6852 [Google Scholar][Crossref]
  18. Jayantee Kalita, Gourav, Pankaj K, et al. intracerebral hemorrhage in young from a tertiary neurology center in North India; Journal of the Neurological Sciences 336 (2014) 42 –47. DOI:https://doi.org/10.1016/j.jns.2013.09.037 [Google Scholar][Crossref]
  19. Gnazebo A, Kouame-Assouan AE, Akani AF et al ; Score ICH et pronostic vital des hématomes cérébraux au service de neurologie du CHU de Bouaké. revue neurologique. 2018; 174:S55-S108. Doi: 10.1016/j.neurol.2018.01.181 [Google Scholar][Crossref]
  20. Cappellari M, Zivelonghi C, Moretto G, et al, The etiologic subtype of intracerebral hemorrhage may influence the risk of significant hematoma expansion; Journal of the Neurological Sciences 2015; 359:293-297. DOI: https://doi.org/10.1016/j.jns.2015.11.024 [Google Scholar][Crossref]
  21. Rasamoelina N, Andrianimaro FM, Randriamarolahy A. Predictive factors of mortality of hemorrhagic stroke observed in the intensive care unit of the teaching hospital tambohobe, fianarantsoa. Paripex - Indian Journal of Research. 2018; 7(1). | Print ISSN No 2250-1991 [Google Scholar][Crossref]

How to Cite

Atakla, H. G., Barry, F. L., Noudohounsi, M. M. U. D., Ofosu, B. B., Ummi, S. S., & Houinato, D. S. (2021). Prognostic Indicators in Patients with Intracerebral Hematoma in an urban clinical setting of a resource limited Country. International Journal of Medical and All Body Health Research, 2(1), 05-09.

Atakla, Hugues Ghislain, et al. "Prognostic Indicators in Patients with Intracerebral Hematoma in an urban clinical setting of a resource limited Country." International Journal of Medical and All Body Health Research, vol. 2, no. 1, 2021, pp. 05-09.

Atakla, H. G., Barry, F. L., Noudohounsi, M. M. U. D., Ofosu, B. B., Ummi, S. S. and Houinato, D. S. (2021) 'Prognostic Indicators in Patients with Intracerebral Hematoma in an urban clinical setting of a resource limited Country', International Journal of Medical and All Body Health Research, 2(1), pp. 05-09.

Atakla HG, Barry FL, Noudohounsi MMUD, Ofosu BB, Ummi SS, Houinato DS. Prognostic Indicators in Patients with Intracerebral Hematoma in an urban clinical setting of a resource limited Country. International Journal of Medical and All Body Health Research. 2021;2(1):05-09.

Similar Articles

Share

Find this Article on

Google Scholar Semantic Scholar OpenAlex ResearchGate BASE

A newly published article may take a few days to appear on these services.