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<< Intracerebral Hemorrhage In Anticoagulated Patients: Evidence-Based Emergency Department Management (Stroke CME)

Epidemiology

ICH accounts for 10% to 20% of all strokes, worldwide.Approximately 25% of these patients are on an oral anticoagulant.10-16 Outcome data on ICH are clouded with uncertainty, as the cause of death of many of these patients is withdrawal of care. Nonetheless, ICH has a much higher mortality than ischemic stroke.17 A prospective registry out of Denmark demonstrated that mortality from ICH is significantly higher than in ischemic stroke (hazard ratio [HR], 1.564; 95% confidence interval [CI], 1.4-1.7; < .001).17 Mortality of ICH at 1 year ranges from 38% to 50%.10,18,19

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