Multicentre Registry of Patients With Spontaneous Acute Intracerebral Hemorrhage in Catalonia (HIC-CAT).
Multicentre Registry of Patients With Spontaneous Acute Intracerebral Hemorrhage in Catalonia (HIC-CAT).
A population-based registry in Catalonia of patients with acute spontaneous Intracerebral
 Hemorrhage, to investigate whether type of center and time from onset to admission is
 associated with functional outcome and mortality.
Introduction. Recent studies show that there are potentially beneficial therapeutic measures
 for the patient with acute intracerebral hemorrhage (ICH), which should be applied urgently
 and that some would only be available in tertiary stroke centers (TSC). However, the
 transportation criteria for ICH patients are not well defined.

 Objectives: Design and implementation of a registry (HIC-CAT) of patients with HIC in the
 healthcare network of public hospitals in Catalonia, which does not modify the current
 logistics but collects data related to patients and TSC, interhospital transfers and non-TSC
 centers. The registry will allow us to evaluate the hypothesis that: 1) Patient care in TSC
 decreases the probability of death or dependence in patients with spontaneous ICH compared to
 non-TSC; and 2) The shorter the time until admission to a TSC, the better the survival and
 functional outcome. This will be due to the application of diagnostic, therapeutic and
 structural measures at the TSC. In addition, organ donation will be more frequent in a TSC.

 Methods: Observational, prospective, multicentre, population study of 2500 consecutive
 patients with spontaneous ICH of less than 24 hours from the onset of symptoms and Rankin
 scale score 0-3. We will collect times, clinical and radiological variables, vital and
 functional outcome at 3 months follow-up. Number of organ donations. Primary variable:
 Functional outcome at 3 months (Rankin 0-3). Statistics: Multivariate analysis with logistic
 regression, propensity matching scores.
Inclusion Criteria:

 -  Patient with a diagnosis of spontaneous intracerebral hemorrhage who is diagnosed in
 any of the participant hospitals

 Exclusion Criteria:

 -  Traumatic intracerebral hemorrhage

 -  >24 hours from onset to admission

 -  Prior Rankin scale score >3