Evaluation of the outcome of surgical or non-surgical treatment in hemorrhagic stroke patients with intervention indication

Abstract

Regarding the outcome of patients with hemorrhagic stroke, there is always a difference between neurologists and brain surgeons and prejudice, and it causes patients to stay in the emergency department for a long time, so the purpose of this study is to investigate the outcome of patients with hemorrhagic stroke treated with surgery and patients treated without surgical intervention.

method: All patients referred to Imam Reza emergency department in Tabriz, who were diagnosed with hemorrhagic stroke and indicated for surgical intervention during the years 2017 to 2019 and underwent surgery or did not undergo surgery and were included in the study as a whole number (census). For all the study cases, the information required for the research, such as age, sex, duration of hospitalization in the emergency room, the onset of symptoms until entering the emergency room, and the type of environment (ICH or ICH&IVH) and the outcome of the patients, including recovery or death, are recorded. All were extracted from the organization of the Research Research Center and the patients who underwent surgery were extracted from the Science Information Archive.

Results: In this study, 686 patients were included in the study. Based on this, the standard age of the patients was 64.76 ± 14.86 years, the median age of the patients was 65 years, with a median of 56 to 75 years. In examining the difference between patients, 363 patients (52.9%) were male and 323 patients (47.1%) were female. In the examination of the condition of patients at the time and day of visiting the hospital based on mRS, nearly 70% of patients have severe conditions (Tables 1-4) and 8.2% of patients died in the first 24 hours. In this study, 122 cases of procedures were performed on 97 patients. 97 patients underwent surgery (14.1%). EVD was implanted for more than half of the patients and 2 hematomas were performed for 26.23% of patients. 11.48% of patients were subjected to cranial depression. Patients who underwent surgery are significantly younger than the group that did not undergo surgery. In the comparison of the discharge of the patients in the two groups, the patients who underwent surgery were almost 2 times more than the discharged patients and there was a significant difference between the two groups in the discharge from the hospital.