Abstract:

Spontaneous intrasebral hemorrhage is associated with severe morbidity and mortality. This study aims to investigate the impact of the volume of hemorrhoids and other known prognostic factors on mortality in spontaneous intrasebral hemorrhoids. Method and Requirements: The study was conducted retrospectively in patients diagnosed with spontaneous intraserebral hemorrhage in a state hospital emergency service between 01/01/2014- 31/12/2019. The study was approved by the Local Clinical Research Ethics Board for the study. The patient's age, gender, systemic illness, antiagregant or anticoagulant drug use, systolic blood pressure (SKB) and Glasgow Koma Scale (GKS) levels at the moment of application, INR levels, computer tomography (BT) determined volume and location of hemorrhoids, intravenous bleeding, ICH (Intercerebral Hemorrhoids) score, data related to 30-day mortality were scaned retrospective. 26 men (47.27%), 29 women (52.73%) and 55 patients were included in the study. The average age is 70 ± 13. The 30-day mortality rate was 49,09%. In patients with intravenous bleeding, mortality was significantly high (p<0,001). In the group with mortality in supratentorial hemorrhoids when the subgroup analysis was performed, the volume of hemorrhoids was significantly higher (p<0,001). A negative correlation between GKS and the volume of hemorrhage was found (p<0,001; rho=-0,599). When the multivariate analysis of the mortality factors was made, it was found that only GKS affects mortality. SPONTAN INTRASEREBRAL supratentorial hemorrhoids are associated with an increased mortality of hemorrhoids. In this retrospective cohort study, it was found associated with the low GKS mortality at the time of application.

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