In-hospital Intracerebral Hemorrhage: A Comprehensive Characterization of a Provincial Cohort.

Authors

Mohamad Mehdi, Farah Ali, Rana Abdalrahman, Chitapa Kaveeta, Ameen Alizada, Dana Harris, Jillian Stang, Robert Moore, Mohamed Alshamrani, Benjamin Agnelli, Jessalyn K Holodinsky, Bijoy K Menon, Michael D Hill, Mohammed A Almekhlafi, Katrina Hannah D Ignacio

Published in

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. Pages 108745. Sep 12, 2026. Epub Sep 12, 2026.

Abstract

Compared to community-onset intracerebral hemorrhage (ICH), in-hospital ICH is understudied despite its potentially increased morbidity and mortality. We described the clinical profile and outcomes of in-hospital ICH patients in a provincial cohort.
We conducted a retrospective cohort study of adults with in-hospital ICH across acute-care hospitals in Alberta (2018-2022). Demographic, clinical, radiographic, laboratory, and outcome variables were collected from administrative data and chart review. We compared survivors and non-survivors; and performed multivariable logistic regression to determine variables associated with in-hospital mortality, including age, NIHSS, prior ICH, antithrombotic use, ICH volume and location. We performed sensitivity analyses using complete-case analysis and multiple imputation.
Among 222 patients (median age 66 years (IQR 56-76); 45.1% women), in-hospital mortality was 59.1% (n=131) with 45.0% of deaths occurring within 7 days. Compared with survivors, non-survivors had higher NIHSS scores (median 26 vs. 7; p<0.001), larger hematoma volumes (median 47.1 vs. 8.3 mL; p<0.001), and more frequent intraventricular extension (55.7% vs. 29.7%; p<0.001). Rates of comorbidities, prior ICH, alcohol use, liver disease, hematologic conditions and antithrombotic use were similar between groups. In the primary analysis, age (OR 1.03; 95% CI [1.00-1.06]), higher NIHSS scores (NIHSS 6-15: OR 4.21 [1.33-13.35]; NIHSS 21-42: OR 19.81 [5.94-66.03]), and larger hematoma volumes (OR 1.01 per mL [1.00-1.02]) were significantly associated with mortality. The association between hematoma volume and mortality was not statistically significant in sensitivity analyses.
In-hospital ICH was associated with high early mortality. Age and greater stroke severity were associated with in-hospital mortality.

PMID:
42731768
Bibliographic data and abstract were imported from PubMed on 13 Sep 2026.

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