Clinical Epidemiology of Patients Admitted with Spontaneous Intracerebral Hemorrhage at Georgetown Public Hospital Corporation: A Cross-Sectional Study
International Journal of Development Research
Clinical Epidemiology of Patients Admitted with Spontaneous Intracerebral Hemorrhage at Georgetown Public Hospital Corporation: A Cross-Sectional Study
Received 26th January, 2025; Received in revised form 19th February, 2025; Accepted 20th March, 2025; Published online 30th April, 2025
Copyright©2025, Dr. Baljit, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Spontaneous intracerebral hemorrhage (sICH) is a critical public health issue in Guyana, yet local data remain limited. This retrospective cross-sectional study reviewed medical records of 59 adult patients admitted with sICH at Georgetown Public Hospital Corporation from October 1, 2023, to March 31, 2024, to assess prevalence, risk factors, clinical presentation, treatment, and outcomes. Of 137 stroke cases, sICH comprised 43.1%, predominantly affecting males (76.3%) aged 61-70 (30.5%), with hypertension (39%) as the leading risk factor. Most patients presented within 24 hours (58%) with altered mental status (50.8%), and 58% were discharged. Treatment adherence to guidelines was inconsistent, with only 10.1% receiving mannitol, hypertonic saline, antipyretics, and anti-seizure drugs. Despite early presentation, high prevalence and mortality underscore the need for improved prevention and management strategies in this setting.
