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Dergiler / Gülhane Tıp Dergisi / 2020 / Cilt: 62 - Sayı: 2

Prognostic factors in patients operated for intracerebral hematoma

Alparslan KIRIK
Soner YAŞAR
Sayfa
87–91
DOI
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Conclusions: Low GCS score at admission and high ICH volume are prognostic factors for patients who have undergone surgery for ICH.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Aims: Intracerebral hemorrhages (ICH) are usually seen in patients with stroke.
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Temel Bulgular & Veri:Increase in ICH volume often results in neurological deterioration.
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Sonuç & Katkı:Conclusions: Low GCS score at admission and high ICH volume are prognostic factors for patients who have undergone surgery for ICH.
🔬Tür:Araştırma Makalesi
📍Kapsam:2017 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

Aims: Intracerebral hemorrhages (ICH) are usually seen in patients with stroke. In this pathology; ICH volume, location of the hemorrhage and hemorrhage expanding into the ventricular system are the main factors affecting the mortality respectively. Increase in ICH volume often results in neurological deterioration. Our aim is to determine the prognostic factors in patients who underwent surgical treatment for ICH. Methods: We retrospectively evaluated 52 patients operated in our department due to ICH which occurred spontaneously or were caused by the other etiological factors between 2017 and 2019. The parameters were the Glasgow Coma Scale (GCS) score, ICH volume in computed tomography scan, and ventricular expansion of the hemorrhage. Results: The mortality rate in our series was 61.5%. Mortality was significantly increased in patients with hematoma larger than 60 cm3. Nineteen of 24 (46%) patients with GCS scores between 3 and 8 died in the postoperative period. The mean duration of hospital stay was 33 days. 73% of the hematomas were seen in the lobar region. Conclusions: Low GCS score at admission and high ICH volume are prognostic factors for patients who have undergone surgery for ICH.

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Bu Makaleye Atıf Yap

KIRIK, A., YAŞAR, S. (2020). Prognostic factors in patients operated for intracerebral hematoma. Gülhane Tıp Dergisi, Cilt: 62 - Sayı: 2, 87–91. https://ajindex.com/articles/158093

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Kaynakça (14)

  1. Keir SL, Wardlaw JM, Warlow CP. Stroke epidemiology studies have underestimated the frequency of intracerebral haemorrhage. A systematic review of imaging in epidemiological studies. J Neurol. 2002;249:1226-1231
  2. Bornstein NM, Aranowich BD, Karepov VG, et al. The Tel Aviv Stroke Registry: 3600 Consecutive Patients. Stroke. 1996;27:1770-1773
  3. Massaro AR, Sacco RL, Mohr JP, et al. Clinical discriminators of lobar and deep hemorrhages: the Stroke Data Bank. Neurology. 1991;41:1881-1885
  4. Bamford J, Sandercock P, Dennis M, Burn J, Warlow C. A prospective study of acute cerebrovascular disease in the community: the Oxfordshire Community Stroke Project--1981-86
  5. Incidence, case fatality rates and overall outcome at one year of cerebral infarction, primary intracerebral and subarachnoid haemorrhage. J Neurol Neurosurg Psychiatry. 1990;53:16-22
  6. Thrift AG, Dewey HM, Macdonell RA, McNeil JJ, Donnan GA. Incidence of the major stroke subtypes: initial findings from the North East Melbourne stroke incidence study (NEMESIS). Stroke. 2001;32:1732-1738
  7. Inagawa T, Ohbayashi N, Takechi A, Shibukawa M, Yahara K. Primary intracerebral hemorrhage in Izumo City, Japan: incidence rates and outcome in relation to the site of hemorrhage. Neurosurgery. 2003;53:1283-1298
  8. Broderick JP, Brott TG, Duldner JE, Tomsick T, Huster G. Volume of intracerebral hemorrhage. A powerful and easy-to-use predictor of 30-day mortality. Stroke. 1993;24:987-993
  9. Inagawa T. Risk factors for primary intracerebral hemorrhage in patients in Izumo City, Japan. Neurosurg Rev. 2007;30:225-234
  10. Smith EE, Koroshetz WJ. Epidemiology of Stroke. In: Furie KL, Kelly PJ, editor). Current Clinical Neurology. Handbook of stroke prevention in clinical practice. Totowa N.J: Humana Press; 2004:1-1
  11. Lovelock CE, Molyneux AJ, Rothwell PM; Oxford Vascular Study. Change in incidence and aetiology of intracerebral haemorrhage in Oxfordshire, UK, between 1981 and 2006: a population-based study. Lancet Neurol. 2007;6:487-493
  12. Flaherty ML, Kissela B, Woo D, et al. The increasing incidence of anticoagulant-associated intracerebral hemorrhage. Neurology. 2007;68:116-121
  13. Broderick JP, Adams HP Jr, Barsan W, et al. Guidelines for the management of spontaneous intracerebral hemorrhage: A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke. 1999;30:905-915
  14. Flaherty ML, Haverbusch M, Sekar P, et al. Long-term mor