Treatment Outcomes of Patients with Primary Intracerebral Hemorrhage Undergoing Surgery at Phu Tho Stroke Center

Abstract

Abstract: This retrospective descriptive study included 49 patients with primary intracerebral hemorrhage (ICH) who underwent surgical treatment at Phu Tho Stroke Center. Clinical data, computed tomography (CT) characteristics, surgical techniques, and outcomes were evaluated using the Glasgow Outcome Scale (GOS) and the Modified Rankin Scale (mRS) at 3 months post-surgery. Multivariable logistic regression was performed to identify independent prognostic factors. The mean age was 58.7 ± 10.35 years. 75.5% of the participants were male. Hypertension was the most common risk factor (83.7%). Hemorrhages were mainly located in the basal ganglia–thalamic region, with a mean hematoma volume of 45 ± 18 mL, and intraventricular hemorrhage occurred in 69.3%. Favorable outcomes were observed in 61.2% (GOS 4–5) and 60.5% (mRS 0–3). Two independent predictors of poor outcome were low admission Glasgow Coma Scale (GCS 5–8, OR 8.52, p = 0.003) and hematoma volume ≥ 60 mL (OR 9.27, p = 0.002). Surgical treatment for ICH yielded favorable results in appropriately selected patients. Admission GCS and hematoma volume are important factors to consider in early treatment decisions.

Keywords: Primary intracerebral hemorrhage, surgery, outcome, Phu Tho Stroke Center.