Prognostic index of postoperative mortality for patients with primary intracerebral hemorrhage
Introduction: Spontaneous intracerebral hematoma is the form of stroke with the highest mortality and morbidity rates. There is no consensus as to which patients benefit from surgical evacuation of the hematoma and, furthermore, postoperative mortality is high in most series. Objective: To create a...
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| Format: | Article |
| Language: | Spanish |
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Editorial Ciencias Médicas - ECIMED
2022-09-01
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| Series: | Revista Cubana de Medicina Militar |
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| Online Access: | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/2170 |
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| author | Margarita Elena Sánchez Padín Jhonaiky Armanda Peguero Garó María Teresa Solomon Cardona Carmen Elena Viada González |
| author_facet | Margarita Elena Sánchez Padín Jhonaiky Armanda Peguero Garó María Teresa Solomon Cardona Carmen Elena Viada González |
| author_sort | Margarita Elena Sánchez Padín |
| collection | DOAJ |
| description | Introduction: Spontaneous intracerebral hematoma is the form of stroke with the highest mortality and morbidity rates. There is no consensus as to which patients benefit from surgical evacuation of the hematoma and, furthermore, postoperative mortality is high in most series.
Objective: To create a prognostic index of postoperative mortality for patients with intracerebral hematoma treated by craniotomy and hematoma evacuation.
Methods: An observational, prospective study of 116 patients with intracerebral hematoma treated surgically was carried out. Preoperative factors related to postoperative mortality were identified. The identified prognostic factors were combined in an index to estimate its predictive capacity, and this capacity was verified in a different sample.
Results: Age ≥ 60 years, Glasgow Coma Scale score ≤ 10 points, and hematoma depth ≥ 1.25 cm are independent predictors of postoperative mortality. The area under the curve for the probability of dying calculated by the logistic regression model in the estimation sample was 0.953 (CI: 0.905-1.000). The proposed postoperative mortality prognostic index classifies patients as low, intermediate, high risk and very high risk of death.
Conclusions: The proposed prognostic index correctly predicts postoperative mortality in patients with intracerebral hematoma treated by craniotomy and evacuation of the hematoma. |
| format | Article |
| id | doaj-art-cc430273de0243b5a490fcc0f864aff3 |
| institution | DOAJ |
| issn | 1561-3046 |
| language | Spanish |
| publishDate | 2022-09-01 |
| publisher | Editorial Ciencias Médicas - ECIMED |
| record_format | Article |
| series | Revista Cubana de Medicina Militar |
| spelling | doaj-art-cc430273de0243b5a490fcc0f864aff32025-08-20T03:04:39ZspaEditorial Ciencias Médicas - ECIMEDRevista Cubana de Medicina Militar1561-30462022-09-01514e02202170e02202170636Prognostic index of postoperative mortality for patients with primary intracerebral hemorrhageMargarita Elena Sánchez Padín0Jhonaiky Armanda Peguero Garó1María Teresa Solomon Cardona2Carmen Elena Viada González3Universidad de Ciencias Médicas de La Habana. FCM Calixto GarcíaGrupo Médico Dr. Baltazar & Asociados. Higüey, República Dominicana.CIRENCentro de InmunoensayoIntroduction: Spontaneous intracerebral hematoma is the form of stroke with the highest mortality and morbidity rates. There is no consensus as to which patients benefit from surgical evacuation of the hematoma and, furthermore, postoperative mortality is high in most series. Objective: To create a prognostic index of postoperative mortality for patients with intracerebral hematoma treated by craniotomy and hematoma evacuation. Methods: An observational, prospective study of 116 patients with intracerebral hematoma treated surgically was carried out. Preoperative factors related to postoperative mortality were identified. The identified prognostic factors were combined in an index to estimate its predictive capacity, and this capacity was verified in a different sample. Results: Age ≥ 60 years, Glasgow Coma Scale score ≤ 10 points, and hematoma depth ≥ 1.25 cm are independent predictors of postoperative mortality. The area under the curve for the probability of dying calculated by the logistic regression model in the estimation sample was 0.953 (CI: 0.905-1.000). The proposed postoperative mortality prognostic index classifies patients as low, intermediate, high risk and very high risk of death. Conclusions: The proposed prognostic index correctly predicts postoperative mortality in patients with intracerebral hematoma treated by craniotomy and evacuation of the hematoma.http://www.revmedmilitar.sld.cu/index.php/mil/article/view/2170hematoma intracerebralmortalidadpronóstico. |
| spellingShingle | Margarita Elena Sánchez Padín Jhonaiky Armanda Peguero Garó María Teresa Solomon Cardona Carmen Elena Viada González Prognostic index of postoperative mortality for patients with primary intracerebral hemorrhage Revista Cubana de Medicina Militar hematoma intracerebral mortalidad pronóstico. |
| title | Prognostic index of postoperative mortality for patients with primary intracerebral hemorrhage |
| title_full | Prognostic index of postoperative mortality for patients with primary intracerebral hemorrhage |
| title_fullStr | Prognostic index of postoperative mortality for patients with primary intracerebral hemorrhage |
| title_full_unstemmed | Prognostic index of postoperative mortality for patients with primary intracerebral hemorrhage |
| title_short | Prognostic index of postoperative mortality for patients with primary intracerebral hemorrhage |
| title_sort | prognostic index of postoperative mortality for patients with primary intracerebral hemorrhage |
| topic | hematoma intracerebral mortalidad pronóstico. |
| url | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/2170 |
| work_keys_str_mv | AT margaritaelenasanchezpadin prognosticindexofpostoperativemortalityforpatientswithprimaryintracerebralhemorrhage AT jhonaikyarmandapeguerogaro prognosticindexofpostoperativemortalityforpatientswithprimaryintracerebralhemorrhage AT mariateresasolomoncardona prognosticindexofpostoperativemortalityforpatientswithprimaryintracerebralhemorrhage AT carmenelenaviadagonzalez prognosticindexofpostoperativemortalityforpatientswithprimaryintracerebralhemorrhage |