POSTOPERATIVE RISK OF MORTALITY SCALE FOR SUPRATENTORIAL STROKE INTRACERBRAL HEMATOMA
DOI:
https://doi.org/10.54890/1694-8882-2024-3-108Abstract
The paper presents the results of surgical treatment of 186 patients with stroke intracerebral hematomas (ICH) who were hospitalized at the National Hospital over 5 years, from 2019 to 2023. The purpose of the study was to create a prediction scale for postoperative mortality to select treatment tactics. Of the 186 operated patients, 46 died. The results of surgical treatment with removal of stroke intracerebral hematomas were analyzed depending on the size, location of the hematoma, degree of transverse dislocation, timing of surgical treatment, age, severity of consciousness and the presence of intraventricular hemorrhage. Taking into account the above criteria, a scale of postoperative risk of mortality of patients was developed, which makes it possible to determine the prediction of the risk of surgery when choosing treatment tactics for patients with IIMG. In surviving patients, according to the scale, the postoperative risk of mortality averaged 7.2 points, and in patients who died, it averaged 11.1 points. The analysis showed that the higher the scores on the postoperative mortality risk scale, the higher the mortality rate after surgery. Based on the results of the study, 4 degrees of postoperative mortality risk were identified, which makes it possible to predict the outcomes of surgical treatment.
Keywords:
hemorrhagic stroke; intracerebral hematoma; postoperative mortalityReferences
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