Clinical outcome of the patients treated surgically for moderated spontaneous hemorrhagic stroke fast tract (GCS 9-12)
Keywords:
spontaneous intracerebral hematoma, Glasgow Coma Scale, hematoma volume, Glasgow Outcome ScaleAbstract
This study examined the clinical outcomes of surgical treatment in patients with spontaneous intracerebral hematoma (SICH) with Glasgow coma scale (GCS) between 9 and 12 through fast tract system of our hospital. Data were retrospectively collected from 86 SICH patients who underwent surgery at Sawanpracharak Hospital between January 2019 and February 2024. These patients were categorized into two groups: the fast-track group (SICH fast track) and a control group of 86 patients who received routine surgical treatment (non-fast track). The study investigated various factors, including risk factors (such as heart disease, previous stroke, hypertension, diabetes mellitus, hyperlipidemia, thrombocytopenia, smoking, alcohol consumption, and chronic kidney disease), vital signs, Glasgow Coma Scale (GCS), hematoma volume, midline shift (MS), intraventricular bleeding (IVH), brain edema, hydrocephalus, meningitis, renal failure, brain infarction, re-bleeding, pneumonia, sepsis, convulsions, pressure sores, time from emergency room to operating room (ER to OR), operating time, intraoperative blood loss, ventriculostomy, ventriculoperitoneal (VP) shunt, re-craniotomy, tracheostomy, Glasgow Outcome Scale (GOS), and length of stay (LOS). Statistically significant associations (p<0.05) were found between fast-track system and routine surgical treatment (non-fast-track) with the following factors: mean age, history of hypertension, mean hematoma volume, time from ER to OR, operative time, pneumonia, and GOS.
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