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NEUROLOGY 2005;64:725-727
© 2005 American Academy of Neurology
Brief Communications

Early mortality following spontaneous intracerebral hemorrhage

J. A. Zurasky, MD, V. Aiyagari, MBBS, DM, A. R. Zazulia, MD, A. Shackelford, RN and M. N. Diringer, MD

From the Neurology/Neurosurgery Intensive Care Unit, Department of Neurology, Washington University School of Medicine, St. Louis, MO.

Address correspondence and reprint requests to Dr. Michael Diringer, Department of Neurology, Campus Box 8111, Washington University, 660 South Euclid Avenue, St. Louis, MO 63110; e-mail: diringerm{at}neuro.wustl.edu

The authors reviewed the charts of 1,421 patients with cerebral hemorrhage to determine the cause of death. Limitation or withdrawal of life-sustaining interventions was the most common cause of death (68%) followed by brain death (28%). Neurologic reasons were the most common cause of delayed decisions to withdraw or limit therapy. Brain death was more common in African Americans, whereas life-sustaining interventions were withdrawn or limited early more often in whites.




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