| Spontaneous Intracerebral Lobar Hemorrhage: Prognostic Factors
for Mortality and Functional Outcomes |
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Chang Hyun Lee , Yoon Soo Lee , Jeong Ho Lee, Hyuk Gee Lee , Kee Young Ryu , Dong Gee Kang |
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Department of Neurosurgery, Daegu Fatima Hospital, Daegu, Korea |
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| Abstract |
Objective
The aim of this study is to identify reliable prognostic factors that affect the mortality and the functional outcomes of the patients
with spontaneous intracerebral lobar hemorrhages.
Methods
Clinical risk factors, radiological risk factors, mortality, and functional outcomes at the latest follow-ups were analyzed retrospectively
in 82 patients. Their degrees of disability were measured using the Glasgow Outcome Scale (GOS), and they were divided
into 2 groups; "good" group (GOS 4-5) and "poor" group (GOS 1-3).
Results
The factors that showed significant differences between the "poor" group and "good" group were initial GCS score, incidence
of altered consciousness at initial, hematoma volume, and presence of ventricular hemorrhage. These factors also affected the patients'
mortality during hospital stay. The result of the logistic regression analysis showed that only the initial GCS score and the presence
of ventricular hemorrhage were independent factors for the functional outcomes.
Conclusion
The result of this study may be useful to predict the mortality and the functional outcomes of the patients with spontaneous
intracerebral lobar hemorrhages, and we expect that accurate prediction of the prognosis will help physicians to choose
the proper treatment modality. |
| Key Words:
Spontaneous intracerebral lobar hemorrhageㆍGlasgow Outcome ScaleㆍFunctional outcome |
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