**5. Conclusion**

*Aging - Life Span and Life Expectancy*

Location 1

Location 2

Volume (cm3

*Standard deviation.*

*a*

**Table 3.**

, SDa

*Aravena, Temuco, Chile, in 2016–2018.*

PISCIS Study, the patients were younger.

39% found in the PISCIS Study [11].

the internal medicine service.

supratentorial and 15.5% infratentorial [31]. We also found a 70.4% of the cases due to hypertension as the presumed cause. This is similar to the Hemphill study but higher than what was reported in the PISCIS Study [13, 31]. This difference in the results in comparison with our study can be explained because in the

*Radiological characteristics of patients with intracerebral hemorrhage Hospital Dr. Hernán Henríquez* 

) 29.1 (37.6)

Amyloid angiopathy = 18.5 Other = 11.1

**Characteristics Patients (N = 108)**

Supratentorial 81.5 Infratentorial 18.5

Basal ganglia 32.4 Lobar 25.0 Thalamus 24.1 Cerebellum 10.2 Pons 8.3

Intraventricular hemorrhage (%) 52.6 Etiology (%) Hypertension = 70.4

We found a 30-day mortality of 30.6% which is lower than the mortality reported by Hemphill in 2001 (45%) and similar to the 28.9% reported in Iquique, Chile [11, 31]. We also found a 6-month mortality of 37.0% which is similar to the

better in populations belonging to developing countries like Chile [36].

not receive the care that the severity of their illness requires.

Unlike what was reported by Hemphill who found an association between mortality and age over 80 years, we found an association with age 65+ years (p = 0.091) [31]. In this sense we consider useful the modification in the ICH score proposed by Hegde et al. by reducing the age criteria by 10 years to prognosticate the disease

Only 39.8% of our patients were admitted in the ICU. This reality is completely contrary to the clinical recommendations in developed countries. For instance, the American guideline for ICH management states that the initial monitoring and management of ICH patients should take place in an intensive care unit or dedicated stroke unit with physician and nursing neuroscience acute care expertise (Class I; Level of Evidence B) [37]. We can suppose that many patients die because they do

When presenting our results, we must emphasize that the HHHA does not have a specific infrastructure to attend to neurological patients, that is, a stroke unit. These units have demonstrated their cost-effectiveness in decreasing mortality and disability due to stroke [38]. In our situation, not all ICH patients are admitted to the ICU and complete 24–48 h of observation in the ER, being later hospitalized at

About 80% of the population in Chile is treated in the public health system [21]. Users of the public system have worse health indicators than users of the private health system [9]. On the other hand, it is expected that the incidence of ICH will

**54**

ICH is a common cause of consultation in our hospital, especially in older people. The implementation of 24/7 neurology shifts in the emergency room allowed us to reduce the evaluation time and to improve the management of ICH patients; however, it is still difficult to admit ICH patients to the ICU. We are aiming for a soon implementation of a stroke unit, so ICH patients receive a standardized care. It's a main priority to have better access to primary care prevention, diagnosis, and treatment in developing countries like ours.
