Predictive Factors of Mortality from Hemorrhagic Strokes in The University Hospitals of Togo

Abstract

Introduction: Hemorrhagic stroke (AVCs) is fraught with high mortality. As mortality related to AVCs is higher, prognostic scores have been developed and validated in several studies, the most common of which is the ICH score. Objective: To determine the predictors of mortality related to AVCH in Togo. Methods: This was a 12-month descriptive and analytical multicenter cross-sectional study conducted in the three university hospitals of Togo. It considered patients who were hospitalized during the study period for spontaneous hemorrhagic stroke proven by brain scan. Results: The mean age of patients in this study was 53.7 ± 12 years with a sex ratio of M/F = 1.27. The mortality rate was higher among women (34.67%) than among men (31.41%). Cardiovascular risk factors that were significantly related to VHVAC were hypertension and chronic alcoholism. The elements of the clinical examination and paraclinical examinations that were statistically linked to death were a Glasgow score < 8, ventricular flooding, and a hematoma volume greater than 30 ml. Applying the ICH score in our study when this score was greater than or equal to 3 there was a mortality of 76.47%. Conclusion: our study confirmed that AVCH is a pathology with high mortality and the best management remains preventive.