Which factors have a negative influence on the chances of survival?
The origin of the cerebral hemorrhage plays a decisive role in the chances of survival. A severe craniocerebral trauma, for example in a car accident, is usually accompanied by very severe bleeding and further injury to brain tissue. Therefore, the chances of survival are usually worse than they would be, for example, with less severe injuries.
Accompanying diseases or advanced age also have a negative effect on survival chances. In particular, high blood pressure is a major risk factor for intracerebral cerebral hemorrhages – i.e. bleeding in brain tissue – and worsens the prognosis if it is not treated with medication. Drug use, especially of amphetamines, cocaine or speed, is also a risk factor for intracerebral cerebral hemorrhage and a negative factor that can worsen survival. Certain types of cerebral haemorrhage are already associated with poorer chances of survival due to the nature of the haemorrhage. These include:
- The subarachnoid hemorrhage
- Intracerebral hemorrhages and
- Acute subdural bleeding.
What are the chances of survival if a coma occurs?
A coma is the highest degree of a disturbance of consciousness, in which the affected person cannot be awakened even by pain stimuli. In the course of a cerebral hemorrhage, a massive increase in intracranial pressure can lead to a coma.One tries to prevent this by early intervention, since irreversible damage to brain tissue or even death can be the result. A coma therefore requires intensive medical care.
The condition of those affected must be regarded as critical and potentially life-threatening. Not only the cerebral hemorrhage as such threatens life in this condition, but also complications that can occur during intensive care treatment. These are mainly pneumonia and blood poisoning.
Especially through ventilators, catheters and venous accesses, germs can enter the body of the affected person and lead to life-threatening infections. The chances of survival with a cerebral hemorrhage with coma are therefore on average rather worse than without a coma. If those affected survive, they usually suffer consequential damage. In the far rarer cases, patients survive such a cerebral hemorrhage without consequential damage.
