Hemorrhagic ictus at the clinical services of the hospital “José R. López Tabrane”. First quarter of 2012

Abstract

We carried out a descriptive study of the follow up of 14 patients who entered the clinical services of the hospital “José R. López Tabrane”, of Matanzas, with the radiological and clinical diagnosis of hemorrhagic cerebral vascular disease, in the period form January to April 2012. We observed that there was a predominance of the 66-75-years-old age group with 6 cases for 42. %, being the male genre the most affected with 6 patients for 57.1 %. We found a tight relation among Glasgow scale, clinical evolution and health status at discharge. It was observed only one alive patient, 7.1 %, with Glasgow scale 15/15; with Glasgow scale value 9-14/15 there were 9 patients for 64.2 %, among them 4 passed away for 44.4 % lethality; with Glasgow scale of less than 8/15 there were 4 patients; all of them died for 100 % lethality. Through neuro-imaging studies we verified that 34.1 % of the cases are hemorrhages and infarct without mass effect, 57.1 % are hemorrhages with mass effect, 14,2 % are sub-arachnoid hemorrhages, and 7.1 % are intra-ventricular hemorrhages. 100 % of the patients received conventional treatment, precocious feeding was used in 10 patients for 71.4. Hospital staying ranged between 2 and 15 days. It was showed the presence of risk factors in the studied patients. We arrived to the conclusion that the Glasgow scale allows to establish a morbimortality prognosis of the patients entering with hemorrhagic cerebral vascular disease.