![]() Cerebellar and brainstem haemorrhages had higher mortality, though putamen is the commonest site of haemorrhage, low Glasgow Coma Scores and high ICH scores were associated with increased mortality. CONCLUSION Males in their sixth decade were the most affected in our study on ICH. METHODS Patients more than 18 years of age who were diagnosed to have intracerebral haemorrhage (ICH) on CT brain plain scan were included in the study. We intended to study the clinical charecteristics and outcome of patients with intracerebral bleeding coming to emergency room. Prognostic factors for predicting functional outcome and mortality play a major role in determining the treatment outcome. Neuroimaging features along with GCS score can help the clinicians in developing their prognosis.īACKGROUND World Health Organisation (WHO) defined stroke as rapidly developing clinical signs of focal disturbance of cerebral function, lasting more than 24 hours or leading to death, with no apparent cause other than vascular origin. Higher rate of mortality were observed during the first two weeks of hospitalization following ICH. Factor independently associated with in-hospital mortality were Glasgow Coma Scale (GCS) score (</= 8), diabetes mellitus disease, volume of hematoma and and intraventricular hematoma. About one third of the deaths occurred within the first two days after brain injury. The overall mortality rate among ICH patients admitted to the hospital was 46.7%. A history of hypertension was the primary cause in 67.2% of participants and it was found more frequent compared to other cardiovascular risk factors such as a history of ischemic heart disease (17.2%), diabetes mellitus (18%) and cigarette smoking (13.1%). Sixty-nine percent of subjects were between 60 to 80 years of age. ![]() Of 122 patients diagnosed with intracerebral hemorrhage, 70 were men and 52 were women. Demographic characteristics along with clinical features and neuroimaging information on 122 patients with primary ICH admitted to Sina Hospital between 1999-2002 were assessed by multivariate analysis. ![]() The aim of the current study was to determine the mortality rate and to evaluate the influence of various factors on the mortality of patients with intracerebral hemorrhage (ICH). Speak its name.Primary intracerebral hemorrhage (ICH) is one of the common vascular insults with a relatively high rate of mortality. For doctors who prefer otherwise, please reach out to a trusted colleague, GP, psychiatrist or psychologist. For doctors in government service the Employee Support Programme can be reached on 2200 and has a fast track for health professionals. ![]() Please reach out, or support each other in reaching out, for proper help. Do not engage in corridor consultations for yourselves. MAM has already explored and is working towards setting up a national programme of support for doctors.ĭoctors, please take your health and that of your colleagues seriously. Suicide is a devastating loss which seriously affects our families, friends, colleagues, and also our patients.ĬORD in their Vision Zero statement call on “individuals, residency programs, healthcare organisations and national groups to make a commitment to break down stigma, increase awareness, open the conversation, decrease the fear of consequences, reach out to colleagues, recognise warning signs and learn to approach our colleagues who may be at risk”. Covid 19 has added very considerably to our stress. Its risk is compounded by a failure to seek help because of fear of stigma and an inappropriate sense of shame and guilt that we as doctors must be strong, where in truth we are just as human as anyone else. Doctors have a considerably higher rate of suicide than the general population.Ĭauses do NOT reflect weaker character but most often stress, especially but not only in the workplace, and its consequences. Research identifies that at any point in time 25-35% of doctors are clinically anxious or depressed, and in one year 37% experience high burnout, 72% high secondary traumatic stress and 10% think of suicide. Today 17 th September is National Physician Suicide Awareness Day, commenced by the Council of Residency Directors in Emergency Medicine (CORD) in the US and supported by multiple other medical organisations.
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