Etiology and risk factors of intracerebral hemorrhage
- VernacularTitle:Тархины эдийн цус харвалтын шалтгаан, эрсдэлт хүчин зүйлсийг судалсан дүн
- Author:
Dembereldorj S
1
,
2
;
Bayarmaa P
2
;
Jargalsaikhan S
2
;
Tovuudorj A
1
;
Shin-Joe Yeh
3
;
Lkhamtsoo N
2
Author Information
1. Department of Neurology, School of Medicine, MNUMS
2. Third State Central Hospital of Mongolia
3. Stroke and Neurocritical Care Division, National Taiwan University, Taipei, Republic of China (Taiwan)
- Publication Type:Other Types
- Keywords:
SMASH-U classification;
Arterial hypertension;
Risk factors
- From:
Mongolian Journal of Health Sciences
2025;88(4):178-182
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:Non-traumatic intracerebral hemorrhage (ICH) represents the most devastating subtype of stroke, charac
terized by spontaneous bleeding into the brain parenchyma. This neurological emergency carries a burden of mortality
and long-term disability worldwide. Timely identification causal pathways is priority objective for adequate primary and
secondary prevention of ICH. Risk factors may differ between ICH subtypes, and stratified approaches to management
may be appropriate.
Aim:This study is to identify cause and risk factors of ICH.
Materials and Methods:A single centre descriptive study was carried out in Stroke Center of the State Third Central
Hospital, Mongolia, including 718 consecutive acute patients with ICH during October 2022 to September 2024. Patients
were classified using SMASH-U, an etiological based classification system.
Results:Out of a total of 718 cases diagnosed with ICH, hypertension caused 75.3%, amyloid angiopathy 12%, unde
termined 7%, structural lesions 2.92%, systemic disease 2.37%, medication 0.48% in 718 ICH patients. The mean age of
the cases was 57.5 жил, and was the most common in men of the 50-59 age group (p<0.001). The main risk factor in hy
pertension and amyloid angiopathy groups was arterial hypertension (93.7%), in undetermined group alcohol consump
tion (48%), in structural group AVM and other vascular causes (23.8%), in systemic group chronic kidney insufficiency
(29.4%), in medication group atrial fibrillation (100%), respectively.
Conclusion:1. ICH was mostly caused by hypertension, amyloid angiopathy, systemic disease.
2. Arterial hypertension, heart disease, atrial fibrillation, previous stroke, oral anticoagulants, smoking, alcohol con
sumption, obesity/BMI≥25, liver cirrhosis, chronic kidney insufficiency, AVM and other structural anomalies were
the most common risk factors.
- Full text:2025052212594877994178-182.pdf
