Predictors of the functional outcome of primary intracerebral hemorrhage

Objective. The aim of the study was to identify clinical, demographic, laboratory and instrumental predictors of the functional outcome of primary intracerebral hemorrhage (ICH) after 90 days among the parameters available within the first hour after the patient's admission to the hospital. Design and methods. A retrospective analysis of the medical records of all patients with primary ICH admitted to the primary vascular department of the Dyurtyulinskaya Central District Hospital of the Republic of Bashkortostan from 2015 to 2021 was performed. Clinical, demographic data and the results of standard laboratory and instrumental examinations were recorded, as well as functional outcomes after 90 days according to the modified Rankin scale (mRs). Results. Data from 120 patients were analyzed. The following predictors of unfavorable functional outcome (mRs 3 points or more) of primary ICH after 90 days were identified: high blood sodium level (p = 0,014), stroke severity according to the NIHSS scale (p = 0,0001), longer QT interval duration (p = 0,05). Conclusion. Thus, early predictors of unfavorable functional outcome of primary ICH after 90 days, along with the initial severity of neurological deficit, were electrolytes level, as well as signs of myocardial repolarization disorders. These results allow for an early (at admission to the hospital) identification of the risk group for the unfavorable functional outcome, as well as for the optimal management of patients with primary ICH due to early correction of the identified factors.