Effects of Surgery on the 30-Day Survival Rate in Spontaneous Supratentorial Intracerebral Hemorrhage

被引:2
|
作者
Balasa, Adrian [1 ,2 ]
Ghiga, Dana [3 ]
Andone, Razvan-Sebastian [4 ]
Zahan, Ancuta Elena [5 ]
Florian, Ioan Alexandru [6 ,7 ]
Chinezu, Rares [1 ,2 ]
机构
[1] George Emil Palade Univ Med Pharm Sci & Technol, Dept Neurosurg, Targu Mures 540142, Romania
[2] Tirgu Mures Clin Emergency Cty Hosp, Dept Neurosurg, Targu Mures 540136, Romania
[3] George Emil Palade Univ Med Pharm Sci & Technol, Dept Med Informat & Biostat, Targu Mures 540142, Romania
[4] Tirgu Mures Clin Emergency Cty Hosp, Dept Neurol, Targu Mures 540136, Romania
[5] George Emil Palade Univ Med Pharm Sci & Technol, Dept Histol, Targu Mures 540142, Romania
[6] Iuliu Hatieganu Univ Med & Pharm, Dept Neurosurg, Cluj Napoca 400012, Romania
[7] Cluj Napoca Clin Emergency Cty Hosp, Dept Neurosurg, Cluj Napoca 400006, Romania
关键词
stroke; hypertensive intracerebral hemorrhage; intracerebral hemorrhage; neurosurgical intervention; ICH score;
D O I
10.3390/brainsci11010005
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Background: Spontaneous intracerebral hemorrhage (ICH) is a severe form of stroke. The efficacy of surgery as ICH treatment is controversial. We sought to compare the 30-day postoperative mortality rate between patients with surgically and medically treated ICH; Methods: This prospective study enrolled patients consecutively diagnosed with ICH and treated between 2017 and 2019. Patients meeting the study surgical indications were assigned to either surgical or medical treatment. The relationship between Glasgow Coma Scale (GCS) score, age, ICH location, ICH volume, and 30-day mortality was analyzed. Results: A total of 174 ICH patients were enrolled in this study. Of these, 136 met the surgery criteria; 65 of these underwent surgery (Group A), and 71 received medical treatment (Group B). Age and ICH location did not modify mortality. Although surgery did not overall improve mortality some better postsurgical outcomes were observed among patients surgically treated with GCS scores of at least 10 points and ICH volumes between 30 to 50 mL; Conclusions: Despite achieving an immediate reduction in intracranial pressure, surgery seems to be advantageous only for patients with ICH volumes between 30 to 50 mL and GCS scores of 10 points or higher;
引用
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页码:1 / 10
页数:10
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