Length of Stay and Mortality of Patients with Intracerebral Hemorrhage in a Tertiary Center in the Dominican Republic: A Single Center Analysis.
Cristina Ramos1, Genesis Polanco Jerez1, Raquel Monegro Cordero1, Jamila Mercedes1, Henry Alvarez1, yaritza bautista1, Dorisbel Grullon1, Yvan Mercader1, Bruno Rosario1, Biany Santos de Pena1, Ana Rodriguez1, Karen Espinal1, Marcos Mota2, María Gabriela Muñoz2, Michele Hernandez3, Ryna Then4
1Hospital Regional Jose Maria Cabral y Baez, 2Instituto Tecnológico de Santo Domingo, 3Pontificia Universidad Católica Madre y Maestra, 4Jefferson Einstein Hospital
Objective:
To estimate the length of hospital stay and mortality among patients with intracerebral hemorrhage admitted to José María Cabral y Báez Hospital, between January 2024 and January 2025
Background:
ICH represents the second most frequent type of stroke worldwide, accounting for nearly 10–15% of all cases. ICH is associated with higher morbidity and mortality rates. Survivors often face severe neurological deficits and long-term disability, creating a substantial burden for patients, families, and healthcare systems. In this study, we aimed to evaluate determinants of short-term prognosis and recovery in patients with acute ICH, seeking to strengthen clinical decision-making in acute care.
Design/Methods:
A retrospective study including 156 patients diagnosed with intracerebral hemorrhage admitted to José María Cabral y Báez Hospital between January 2024 and January 2025. Sociodemographic and clinical data were obtained from medical records. Cases were selected through non-probability convenience sampling.
Results:
156 patients were included, of whom 21% died. Male patients accounted for 13.4%. Mortality according to hospital stay was 35% for patients admitted ≤2 days, 39% for 3–7 days, 23% for 8–15 days. Patients with NIHSS scores of 21–42 had a mortality of 56%. Intraventricular hemorrhage was associated with 6% mortality, brainstem hemorrhage with 19%, lobar hemorrhage with 31%, and basal ganglia hemorrhage with 34%. Among these, patients who required intraventricular drainage had a mortality of 63%. Mortality by GCS was 56% for GCS 3–8.
Conclusions:
Higher mortality was observed in male patients, patients hospitalized for 3–7 days, patients with hemorrhage located in the basal ganglia, and admission GCS scores between 3–8. Mortality also increased with higher NIHSS scores, particularly in patients scoring 21–42. This study reveals novel data on complications and mortality within the Dominican Republic’s National Public Health System, which will contribute to the development of preventive measures and treatments to mitigate the complications associated with this devastating neurological emergencies.
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