Multianalysis of short-term prognostic factors in surgical practices for hypertensive intracerebral hemorrhage

Abstract

To evaluate and compare the effectiveness of different types of surgical therapy for patients with hypertensive cerebral hemorrhage, and analyze the major risk factors of prognosis. 2464 patients with hypertensive cerebral hemorrhage in 92 hospitals in different areas of China underwent different types of surgical treatment: Group I (n = 639), undergoing traditional craniotomy as control; Group II (n = 409), receiving minimally invasive hematoma evacuation; and Group III (n = 1416), receiving CT guided stereotaxic hematoma aspiration. The clinical data were collected and underwent multianalysis. The factors influencing the short-term prognosis were Glasgow coma scale (GCS) score before surgery and the incidence of postoperative complications in Group II; GCS score before surgery and the incidence of postoperative complications and volume of hemorrhage, duration between ictus and surgery, use of urokinase in Group III; and GCS score before surgery, muscle power before surgery, diastolic pressure at admission and postoperative complications in Group III. Analysis of prognosis related factors of cerebral hemorrhage plays a very important role in the selection of therapeutic strategy. It may be beneficial for standardizing surgical indications, further designing large scale clinical trial, helping the doctors select appropriate strategy of treatment, and serving the social population better.