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Study Question : spontaneous intracerebral hemorrhage (SICH) remains the deadliest and most disabling form of stroke. Objective: to find out clinical profile, identifying definite risk factors, , to assess the utility of (ICH) Score and Intra Cerebral Haemorrhage-Graded Scale (ICH-GS) as tools to predict outcome and to apply Siriraj score and the Guy Allen score to classify patients as infarcts and haemorrhages based on the clinical presentation as predicted by the scores. Methodolgy: Single center, prospective, descriptive study, Department of Internal Medicine/Neurology RNT Medical College, Udaipur from December 2012-13 conducted in 50 patients of Spontaneous Intracerebral Haemorrhage as confirmed by CT of the brain were selected .Patients on thrombolytics, anti-coagulants, Antiplatelets, Traumatic haemorrhage, Venous infarct with hemorrhagic Transformation, Aneurysmal bleeding, Bleeding disorders, Coagulation disorder, Malignancy, Toxic cause were excluded. Approval from ethical committee were obtained. The initial assessment on admission using Glasgow Coma Scale (GCS), the National Institute of Health Stroke Scale (NIHSS), (ICH) Score and the ICH Grading Scale (ICH-GS) were calculated. The Siriraj score and Guy Allen score ,(CT) Scanning of the Brain, the volume of the bleed was calculated using the ABC/2 technique. The bedside ABC/2 method, the CT slice with the largest area of haemorrhage was identified. Outcome was evaluated using the Modified Ranking Scale (MRS)The data thus obtained were analysed with the help Microsoft Excel 2007 and statistical software PRIMER. Result : Out of 50 patients, mean age of 63.46 years, Male :Female ratio was 1.27:1. No significant association of MRS was observed with gender and age hypertension SBP and DBP pulse pressure the site of bleed. All 50 patients had a supra-tentorial site of bleed. Cases with IVH , Glasgow Coma Scale on admission volume of the bleed of intracerebral haemorrhage ICH and ICH-GS were significantly associated with Outcome P<0.05S) The most common cause of death was respiratory depression, followed by aspiration pneumonitis which occurred in 41% of patients who developed complications.

iosr journal of dental and medical sciences

Associating Factors with Outcome (Modified Ranking Scale) of Spontaneous Intracerebral Haemorrhage Cases Attending At Tertiary Care Hospital, Udaipur (Rajasthan)