| Summary: | <p class="NoSpacing1"><strong>Background</strong>: cerebral hemorrhage is the most disabling and mortal condition of the cerebrovascular diseases.</p><p class="NoSpacing1"><strong>Objective</strong>: to identify the variables that have a direct influence on the survival of patients with spontaneous intracerebral hemorrhage (spontaneous ICH) during the first 30 days at the “Carlos Manuel de Céspedes” Hospital of Bayamo, Granma, from January 2017 to October 2018.</p><p class="NoSpacing1"><strong>Methods</strong>: an analytic, retrospective cohort study was carried out with patients diagnosed with spontaneous intracerebral hemorrhage (spontaneous ICH) at the aforementioned institution and during the period declared in the objective. The study population included 208 patients. The research assessed: post-onset of the condition, age, sex, medical sate at 30 days, ventricular flooding, hematoma volume, lesion volume, displacement of the midline structure.</p><p class="NoSpacing1"><strong>Results</strong>: 114 patients survived, with an average age of 64,18±14,538, 56,6 % were male. The age of the deceased was 67,75±13,855, 43,4 % were male. The hematoma volume was 5,753±15,644 cm<sup>3</sup> in the living and 26,213±30,551 cm<sup>3</sup> in the deceased. (p=0,000). The risk of death increased 1,991 times for each unit with an increase of the hematoma volume over 25 cm<sup>3</sup>. The age under 65 years had a protecting effect. The risk to die at 30 days was reduced at 40,8 % per each year decreasing under 65.</p><p class="NoSpacing1"><strong>Conclusions</strong>: the hematoma volume had an influence on the prognosis of survival in the patients with spontaneous intracerebral hemorrhage (spontaneous ICH). The age under 65 years was a protecting factor.</p>
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