Predictors of Surgical Intervention and Predicting Mortality in Patients with Spontaneous Intracerebral Hemorrhage

MOHAMED H. ALI, M.D., MOHAMED A. GHONEIM, M.D.;

doi:10.21608/mjcu.2020.94008

Predictors of Surgical Intervention and Predicting Mortality in Patients with Spontaneous Intracerebral Hemorrhage

Document Type : Original Article

Author

MOHAMED A. GHONEIM, M.D.; MOHAMED H. ALI, M.D.

The Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt

10.21608/mjcu.2020.94008

Abstract

Abstract Background: Intracerebral Hemorrhage (ICH) is a major life threatening condition, for optimizing therapeutic efforts an early outcome assessment is essential. Aim of Study: Recognize the factor affecting the outcome in patients with spontaneous intracerebral hematoma. Patients and Methods: Data of cases had acute ICH between February 2016, and July 2018, were prospectively included. ICH score was applied, and we assessed outcome by the rate of mortality at 30-day and functional outcome at 6-month by Glasgow Outcome Scale (GOS). Results: The study included 22 patients during its period. Rate of mortality at thirty day was (40.9%) 9 patients, and the incidence of patients had good functional outcome at 6 months was (36.4%), 8 patients with a Glasgow Outcome Scale (GOS) 4 to 5 at 6 months. Conclusions: The Initial neurological state, (GCS score) pre-operative, with hematoma volume were a good predictors for detection the mortality rate after 30 days in case of the patients with primary spontaneous ICH. Patients with pre-operative GCS below 9 and hematoma volume more than 42.6 had a great risk of bad short term outcome. The ICH score predict probably the mortality after 30 days and 6 month outcome (the ICH score on admission inversely related to outcome). Younger age and lobar ICH location, were important predictors of surgical intervention.

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