Factors Pedicting Mortality in Surgically Treated Spontaneous Intracranial Hemorrhage in The Fast-Tract Protocol: Results from Sawanpracharak Hospital
Keywords:
Hypertensive intracranial hemorrhage, Cerebral intraventricular hemorrhageAbstract
Objective : This study aim to analyze intraventricular hemorrhage had increase mortality outcome in hypertensive intracranial hemorrhage that go on the fastest surgery and risk factor of mortality in these patients.
Method : A retrospective cohort study has been done. 114 patients with hypertensive intracranial hemorrhage underwent the fastest surgery during 1 May 2020 – 30 April 2021. Medical records were reviewed. The following data : gender, age, underlying disease, diagnosis, volume of intracranial hemorrhage, midline shift, intraventricular hemorrhage, Glasgow coma score, surgery method and 3 month-surgery outcome was analyzed intraventricular hemorrhage made patient death and analyzed risk factor for death by using univariate analysis and multivariate regression analysis. Statistic significant was determined as p-value less than 0.05.
Results : Data showed hypertensive intracranial hemorrhage with more than 60 years (OR 1.04; 95%CI 1.00 - 1.08; P = 0.03) or Glasgow coma score less than 9 was significant death 8 (OR 0.73; 95%CI 0.61- 0.88; P < 0.01)
Conclusion : Hypertensive intracranial hemorrhage with patient over 60 years or Glasgow coma less than 9 have high risk to mortality rate.
Key words : Hypertensive intracranial hemorrhage, Cerebral intraventricular hemorrhage
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