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Introduction <p>Hypertensive Intracerebral Hemorrhage (HICH) is one of the leading causes of death and disability in the world, with a high mortality rate. Various demographic and clinical factors influence mortality in ICH patients.</p> Objective <p>This study aims to identify the factors that affect in-hospital mortality in patients with hypertensive intracerebral hemorrhage (HICH).</p> Methods <p>This study used a retrospective cohort design with medical record data from hypertensive intracerebral hemorrhage (HICH) patients at the Neurology Department of Dr. Hasan Sadikin Hospital, Bandung between January 2023 until December 2024. Univariate analysis was performed to describe sample characteristics, bivariate analysis with chi-square test was used to test the relationship between independent variables and mortality, and multivariate analysis with logistic regression was applied to identify the factors that most influenced mortality.</p> Results <p>Among the 177 patients analyzed, 64 (36.16%) died. Factors that were significantly associated with mortality were diabetes mellitus (<i>p</i> = 0.005 OR = 5.481), NIHSS score (<i>p</i> = 0.003 OR = 3.589), bleeding location (<i>p</i> &lt; 0.001 OR = 10.494), and ICH score (<i>p</i> = 0.002 OR = 2.757).</p> Conclusion <p>Diabetes mellitus, NIHSS score, infratentorial location of bleeding, and ICH score are the primary factors contributing to mortality in hypertensive intracerebral hemorrhage (HICH) patients. Early identification and optimal management of these factors can help improve patient clinical outcomes.</p>

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Predictors of mortality of Hypertensive Intracerebral Hemorrhage (HICH) patients: a single centre study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月9日

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  • Lisda Amalia,
  • Shafa Triani Fadhillah,
  • Iin Pusparini,
  • Achmad Adam,
  • Marda Arif Furqani

摘要

Introduction

Hypertensive Intracerebral Hemorrhage (HICH) is one of the leading causes of death and disability in the world, with a high mortality rate. Various demographic and clinical factors influence mortality in ICH patients.

Objective

This study aims to identify the factors that affect in-hospital mortality in patients with hypertensive intracerebral hemorrhage (HICH).

Methods

This study used a retrospective cohort design with medical record data from hypertensive intracerebral hemorrhage (HICH) patients at the Neurology Department of Dr. Hasan Sadikin Hospital, Bandung between January 2023 until December 2024. Univariate analysis was performed to describe sample characteristics, bivariate analysis with chi-square test was used to test the relationship between independent variables and mortality, and multivariate analysis with logistic regression was applied to identify the factors that most influenced mortality.

Results

Among the 177 patients analyzed, 64 (36.16%) died. Factors that were significantly associated with mortality were diabetes mellitus (p = 0.005 OR = 5.481), NIHSS score (p = 0.003 OR = 3.589), bleeding location (p < 0.001 OR = 10.494), and ICH score (p = 0.002 OR = 2.757).

Conclusion

Diabetes mellitus, NIHSS score, infratentorial location of bleeding, and ICH score are the primary factors contributing to mortality in hypertensive intracerebral hemorrhage (HICH) patients. Early identification and optimal management of these factors can help improve patient clinical outcomes.