Factors influencing mortality in patients diagnosed with intraparenchymal hemorrhage

Introduction: apoplexy or apoplectic stroke is the clinical term given to the acute loss of blood supply to a region of the brain, resulting in ischemia and loss of neurological function. Objective: to describe the factors that influence mortality in patients diagnosed with intraparenchymal hemorrhage in studies published in the PubMed and LILACS databases during the period 2020-2025. Method: a literature review study was conducted in the LILACS and PubMed databases in April 2025. A total of 21 articles were obtained from LILACS and 36 articles from PubMed, and 57 articles were preselected. Development: age and a history of diabetes mellitus are strongly associated with mortality. Additional studies show variability in incidence, with the presence of ventricular extension, blood glucose at admission, and measurement of the ipsilateral dilated optic nerve sheath as prognostic factors in this group. Conclusions: age, the presence of ventricular extension, and blood glucose at admission are highly associated with mortality. Several prognostic scales are used, with various limitations, but the Glasgow Coma Score was the most widely used in this study.