Prognostic factors in a series of 185 consecutive spontaneous supratentorial intracerebral haematomas

We report a retrospective observational study of 185 cases with spontaneous supratentorial intracerebral haemorrhage, in which, by univariate and multivariate analysis, the main clinical and CT findings influencing patient outcome were studied. Forty (22%) patients died and 77 (41%) remained in a ve...

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Bibliographic Details
Published in:British journal of neurosurgery 2002-08, Vol.16 (4), p.355-361
Main Authors: Garibi, J., Bilbao, G., Pomposo, I., Hostalot, C.
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adolescent
Adult
Aged
Aged, 80 and over
Analysis of Variance
Biological and medical sciences
Case studies
Cerebral Hemorrhage - mortality
Cerebral Hemorrhage - pathology
Cerebral Hemorrhage - surgery
Clinical outcomes
Female
Glasgow Coma Scale
Haemorrhage
Hematoma - mortality
Hematoma - pathology
Hematoma - surgery
Hemorrhage
Humans
Male
Medical sciences
Middle Aged
Neurology
Retrospective Studies
Spontaneous
Supratentorial
Surgery
Treatment Outcome
Vascular diseases and vascular malformations of the nervous system
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Summary:We report a retrospective observational study of 185 cases with spontaneous supratentorial intracerebral haemorrhage, in which, by univariate and multivariate analysis, the main clinical and CT findings influencing patient outcome were studied. Forty (22%) patients died and 77 (41%) remained in a very disabled state. Using logistic regression analysis we found that the volume of the haematoma, its deep location, surgical treatment and the preictal status in relation to activities of daily living (ADL) were independent factors for patient outcome measured with the Modified Rankin Scale. Similarly, GCS at presentation, preictal status in relation to ADL and age were directly correlated with mortality at 6 months follow-up. We also observed that age, GCS at admission and the volume of the haematoma, were the main factors influencing the neurosurgeon's decision regarding surgical treatment.
ISSN:0268-8697
1360-046X
DOI:10.1080/0268869021000007579