Abstract
Background: In caribbean space stroke incidence is 50% higher than in Europe. This study aims to describe characteristics of intracerebral hemorrhage in Guadeloupe. Methods: This was a retrospective study of hospitalized patients with a no-traumatic intracerebral hemorrhage during one year from 2013 to 2014. Survivors were contacted by telephone at the end of the study and; if accept, vital status and Rankin scale were assessed. Results: In one year, 1418 patients were hospitalized for an acute stroke. 112 had no-traumatic intracerebral hemorrhage (7.9%). The sex ratio F/H was 0.72. Mean age of the population was at 63.0 ± 14.7 years. Hypertension and diabetes were the leading risk factors notice with respectively 62 and 25 patients. Intracerebral hemorrhage distribution was: deep 48.2%, lobar 30.4%, sub-tentorial 17.9%, meningeal 3.5%. Severity signs distribution were mass effect 79%, ventricular contamination 43% and cerebral herniation 37%. Mean during of in-hospital stay was 10.6 ± 10.3 days and in-hospital mortality was 22 patients (19.6%). A year and a half after emergency 5 additional death (4.5%) between 35 patients survivors was noticed with median Rankin scale 1.5. Conclusion: Intracerebral hemorrhage is less frequent in African American as compared to Caucasian; the epidemiological excess of strokes in this population is related to ischemic strokes.
Highlights
The burden of intra-cerebral hemorrhages (ICH) varies between regions and over time
This study aims to describe characteristics of intracerebral hemorrhage in Guadeloupe
Intracerebral hemorrhage is less frequent in African American as compared to Caucasian; the epidemiological excess of strokes in this population is related to ischemic strokes
Summary
The burden of intra-cerebral hemorrhages (ICH) varies between regions and over time Their incidence seems be influenced by ethnicity and is dependent of socio-economic conditions. Worldwide, their burden increased by 47% between 1990 and 2010 [1]. Several studies demonstrated higher stroke incidence and mortality in US and UK Blacks than in Caucasians [2] [3] [4] [5]. Methods: This was a retrospective study of hospitalized patients with a no-traumatic intracerebral hemorrhage during one year from 2013 to 2014. Conclusion: Intracerebral hemorrhage is less frequent in African American as compared to Caucasian; the epidemiological excess of strokes in this population is related to ischemic strokes
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