Association between the surgical approach and prognosis of spontaneous supratentorial deep intracerebral hemorrhage

• Published in: Scientific reports 2024-02, Vol.14 (1), p.3994-3994, Article 3994
• Main Authors: Shi, Hui, Tan, Xingwei, Deng, Yongbing, He, Minglian, Chen, Dongsheng, Zhou, Weichong, Tang, Xiaoyong, Liu, Yang, Cui, Min
• Format: Article
• Language: English
• Subjects: 631/378; 692/308; 692/617; 692/700; Cerebral Hemorrhage; Endoscopes; Hematoma; Hemorrhage; Humanities and Social Sciences; Humans; Mortality; multidisciplinary; Patients; Prognosis; Regression analysis; Retrospective Studies; Science; Science (multidisciplinary); Stroke; Treatment Outcome
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-024-54639-z

The association between surgical approach and prognosis in patients with spontaneous supratentorial deep intracerebral hemorrhage is unclear. We aimed to explore the association between surgical approach and prognosis in these patients. A retrospective cohort of 311 patients from 3 centers who were treated with surgery 24 h after ictus was recruited. The surgical procedure involved removing the intracerebral hematoma using an aspirator through either the cortical approach or Sylvian fissure approach, assisted by an endoscope or microscope. The primary outcome was the one-year modified Rankin scale (mRS) score. The association between the surgical approach and the one-year mRS score was explored by using ordinal logistic regression and binary logistic regression. Baseline characteristics were balanced by propensity score matching and inverse propensity score weighting. In the adjusted analysis, compared with the cortex approach group, the Sylvian fissure approach group had better one-year mRS scores when analyzed as an ordinal variable (3.00 [2.00–4.00] vs. 4.00 [3.00–5.00]; adjusted odds ratio, 3.15; 95% CI, 1.78–5.58; p