independent predictors of one-month mortality in patients with intracranial hemorrhage; a cohort study

Introduction: predicting the outcome is one of the most frequent and important issues when approaching patients with intracranial hemorrhage (ich).objective: this study aimed to evaluate the correlation of suspekt score variables plus electrocardiogram (ecg) abnormalities with one-month mortality of patients with ich presenting to emergency department (ed). methods: in this cohort study, adult patients presenting to the eds of three educational hospitals, during one year, were followed and their one-month mortality rate as well as independent predictors of outcome among the variables of suspekt score plus electrocardiography findings were evaluated. results: one hundred seventy-seven patients with the mean age of 63.07±14.89 years were studied (59.9%). the most common locations of intra-parenchymal hemorrhage were basal ganglia (53.7%) and cortex (36.2%). ninety-two (52.0%) of cases had at least one ecg abnormality. the most frequent ecg abnormalities were st segment depression (20.3%), t wave inversion (16.4%), and left ventricular hypertrophy (14.7%). thirty (16.9%) cases died during the 30-day follow-up. survived and non-survived cases were significantly different regarding the location of intra-parenchymal hemorrhage (p < 0.0001), presence of intraventricular hemorrhage (ivh) (p = 0.007), st segment elevation (p < 0.0001), bradycardia (p < 0.0001), tachycardia (p < 0.0001), arterial fibrillation (p < 0.0001), blood sugar (p = 0.044), and serum level of potassium (p = 0.022).conclusions: the location of hemorrhage (basal ganglia), higher blood sugar, and presence of ecg abnormalities (st segment elevation, tachycardia, bradycardia, atrial fibrillation) were among the independent predictors of one-month mortality of ich patients in this study.