Background and Significance: The researcher, involved in the care of patients with intracerebral hemorrhage,
observed that Phranangklao Hospital experienced a mortality rate from this condition exceeding the
standard set by the Ministry of Public Health. This highlighted the importance of investigating the associated
factors influencing mortality in patients with intracerebral hemorrhage to prevent the causes and reduce the
mortality rate in this patient group.
Method: Retrospective study was conducted in patients diagnosed with intracerebral hemorrhage
and admitted for treatment at Phranangklao Hospital. Data were collected from July 1, 2023, to December
31, 2023, totaling 455 cases. Ten factors were collected: type of intracerebral hemorrhage, gender, age,
underlying diseases, use of antiplatelet/anticoagulant drugs, initial GCS, consent for treatment and surgery
from patients and relatives, length of hospital stay, in-hospital complications, and surgery.
Results: Multivariate analysis revealed that 5 factors significantly influenced the mortality rate in
patients with intracerebral hemorrhage: underlying diseases, initial GCS, consent for treatment and surgery
from patients and relatives, length of hospital stay, and in-hospital complications. The most influential factor
based on the Adjusted OR was the initial GCS, followed by consent for treatment and surgery from patients
and relatives.
Conclusion and Recommendations: The findings and discussion of this research indicate that there
are preventable factors that, if addressed, could help reduce the mortality rate in patients with intracerebral
hemorrhage. These factors include underlying diseases, the use of antiplatelet/anticoagulant drugs, and
in-hospital complications.