| Clinical Outcome and Associated Factors of Spontaneous Intracerebral Hemorrhage: 1 Year Follow-up Result |
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Byung Soo Kim , Min-Soo Kim , Chul Hoon Chang , Seong Ho Kim , Oh-Lyong Kim , Byung Yon Choi , Sang Woo Kim , Young Jin Jung |
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Department of Neurosurgery, Yeungnam University College of Medicine, Daegu, Korea |
| 자발성 뇌출혈 환자의 일년 추적 관찰 결과 및 연관인자에 대한 연구 |
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김병수ㆍ김민수ㆍ장철훈ㆍ김승호ㆍ김오룡ㆍ최병운ㆍ김상우ㆍ정영진 |
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영남대학교 의과대학 신경외과학교실 |
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| Abstract |
Objective
Spontaneous intracerebral hemorrhage (ICH) is critical disease. There have been studies about ICH, but a few study of long term prognosis after spontaneous ICH. The purpose of this study was to evaluate the morality and functional outcomes of spontaneous ICH at discharge and after one year.
Methods
We analyzed cases of spontaneous ICH in 2010 retrospectively in single institute. The associations between death, modified Rankin Scale (mRS) and other factors were evaluated at discharge and one year after discharge.
Results
A total of 170 cases were identified (62.0±13.4, range 28-90 years). Thirty four patients (20.0%) had expired during the hostitalization and in 46 patients (27.5%) at one year follow-up. Patient age (age ≥65), initial Glasgow Coma Scale (GCS) score (GCS score ≤8) had association with mortality at discharge and one year follow-up. Among discharged patients, during one year follow-up 12 more patients were dead. Pneumonia is the most common cause of death (50.0%, 6/12) for discharged patients. Recurred ICH occurred in 6 cases and 2 of them were dead.
Conclusion
Old age (age ≥65), poor initial GCS score (GCS score ≤8) had association with one year follow-up mortality in patients with spontaneous ICH. Most of patients who died during one year follow-up were mRS 3~5 group at discharge, and they died from pneumonia mainly. So we need to give our attention to prevention of the pneumonia of these vulnerable patients during follow-up. |
| Key Words:
Intracerebral hemorrhageㆍMortalityㆍPrognosis |
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