FUNCTIONAL OUTCOME IN PATIENTS WITH SUPRA TENTORIAL HYPERTENSIVE INTRACEREBAL HEMORRHAGE AFTER SURGICAL INTERVENTION

Objectives: To determine the functional outcome in patients with supratentorial intracerebral hemorrhage after surgical intervention. Study Design: Retrospective descriptive study. Place and Duration of Study: This study was carried out at the department of Neurosurgery, Combined Military H...

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Autores principales: Tariq Mahmood Irshad, Muhammad Junaid Mushtaq, Abdul Ghaffar, Saqib Ghaffar, Asrar Ahmad
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Publicado: Army Medical College Rawalpindi 2018
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spelling oai:doaj.org-article:2c8f95b3d5bf4e128395ef3d823cd6c92021-11-26T02:52:25ZFUNCTIONAL OUTCOME IN PATIENTS WITH SUPRA TENTORIAL HYPERTENSIVE INTRACEREBAL HEMORRHAGE AFTER SURGICAL INTERVENTION0030-96482411-8842https://doaj.org/article/2c8f95b3d5bf4e128395ef3d823cd6c92018-12-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2552/2090https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objectives: To determine the functional outcome in patients with supratentorial intracerebral hemorrhage after surgical intervention. Study Design: Retrospective descriptive study. Place and Duration of Study: This study was carried out at the department of Neurosurgery, Combined Military Hospital Rawalpindi (CMH), from Jan 2015 to Dec 2015. Material and Methods: Retrospectively the records of eighty two patients with a diagnosis of supratentorial hypertensive intracerebral bleed on computed tomography scan (CT) brain, who were surgically managed in our department over one year period, were collected and evaluated. All the patients had undergone clinical examination, baseline investigations including complete blood counts, urea, creatinine, electrolytes, prothrombin time (PT), partial thromboplastin time (PTTK), electrocardiography (ECG) and chest x-ray. In case of deranged coagulation profile platelets or fresh frozen plasma were transfused preoperatively. Outcome of patients was assessed by Glasgow outcome scale (GOS) at 3 months after surgery. A GOS score of 4 and 5 was considered favorable outcome and score of 1, 2 and 3 was considered unfavorable outcome, and these were noted in proforma. Descriptive statistics for age, gender, hospital stay and clinical outcome were calculated by using SPSS version 20. Results: Eighty two patients of supra tenteorial bleed were operated over the study period. The mean age of patients was 44.82 ± 9.25 years and the average hospital stay was 13.21 ± 4.41 days. Fifty six patients (68.3%) were male while 26 (31.7%) were female. Favorable outcome at three months was observed only in 24 patients (29.26%) while unfavorable outcome in 58 (70.73%)...........Tariq Mahmood IrshadMuhammad Junaid MushtaqAbdul GhaffarSaqib GhaffarAsrar AhmadArmy Medical College Rawalpindiarticleglasgow coma scaleintracerebral hemorrhageMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 6, Pp 1583-1587 (2018)
institution DOAJ
collection DOAJ
language EN
topic glasgow coma scale
intracerebral hemorrhage
Medicine
R
Medicine (General)
R5-920
spellingShingle glasgow coma scale
intracerebral hemorrhage
Medicine
R
Medicine (General)
R5-920
Tariq Mahmood Irshad
Muhammad Junaid Mushtaq
Abdul Ghaffar
Saqib Ghaffar
Asrar Ahmad
FUNCTIONAL OUTCOME IN PATIENTS WITH SUPRA TENTORIAL HYPERTENSIVE INTRACEREBAL HEMORRHAGE AFTER SURGICAL INTERVENTION
description Objectives: To determine the functional outcome in patients with supratentorial intracerebral hemorrhage after surgical intervention. Study Design: Retrospective descriptive study. Place and Duration of Study: This study was carried out at the department of Neurosurgery, Combined Military Hospital Rawalpindi (CMH), from Jan 2015 to Dec 2015. Material and Methods: Retrospectively the records of eighty two patients with a diagnosis of supratentorial hypertensive intracerebral bleed on computed tomography scan (CT) brain, who were surgically managed in our department over one year period, were collected and evaluated. All the patients had undergone clinical examination, baseline investigations including complete blood counts, urea, creatinine, electrolytes, prothrombin time (PT), partial thromboplastin time (PTTK), electrocardiography (ECG) and chest x-ray. In case of deranged coagulation profile platelets or fresh frozen plasma were transfused preoperatively. Outcome of patients was assessed by Glasgow outcome scale (GOS) at 3 months after surgery. A GOS score of 4 and 5 was considered favorable outcome and score of 1, 2 and 3 was considered unfavorable outcome, and these were noted in proforma. Descriptive statistics for age, gender, hospital stay and clinical outcome were calculated by using SPSS version 20. Results: Eighty two patients of supra tenteorial bleed were operated over the study period. The mean age of patients was 44.82 ± 9.25 years and the average hospital stay was 13.21 ± 4.41 days. Fifty six patients (68.3%) were male while 26 (31.7%) were female. Favorable outcome at three months was observed only in 24 patients (29.26%) while unfavorable outcome in 58 (70.73%)...........
format article
author Tariq Mahmood Irshad
Muhammad Junaid Mushtaq
Abdul Ghaffar
Saqib Ghaffar
Asrar Ahmad
author_facet Tariq Mahmood Irshad
Muhammad Junaid Mushtaq
Abdul Ghaffar
Saqib Ghaffar
Asrar Ahmad
author_sort Tariq Mahmood Irshad
title FUNCTIONAL OUTCOME IN PATIENTS WITH SUPRA TENTORIAL HYPERTENSIVE INTRACEREBAL HEMORRHAGE AFTER SURGICAL INTERVENTION
title_short FUNCTIONAL OUTCOME IN PATIENTS WITH SUPRA TENTORIAL HYPERTENSIVE INTRACEREBAL HEMORRHAGE AFTER SURGICAL INTERVENTION
title_full FUNCTIONAL OUTCOME IN PATIENTS WITH SUPRA TENTORIAL HYPERTENSIVE INTRACEREBAL HEMORRHAGE AFTER SURGICAL INTERVENTION
title_fullStr FUNCTIONAL OUTCOME IN PATIENTS WITH SUPRA TENTORIAL HYPERTENSIVE INTRACEREBAL HEMORRHAGE AFTER SURGICAL INTERVENTION
title_full_unstemmed FUNCTIONAL OUTCOME IN PATIENTS WITH SUPRA TENTORIAL HYPERTENSIVE INTRACEREBAL HEMORRHAGE AFTER SURGICAL INTERVENTION
title_sort functional outcome in patients with supra tentorial hypertensive intracerebal hemorrhage after surgical intervention
publisher Army Medical College Rawalpindi
publishDate 2018
url https://doaj.org/article/2c8f95b3d5bf4e128395ef3d823cd6c9
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AT abdulghaffar functionaloutcomeinpatientswithsupratentorialhypertensiveintracerebalhemorrhageaftersurgicalintervention
AT saqibghaffar functionaloutcomeinpatientswithsupratentorialhypertensiveintracerebalhemorrhageaftersurgicalintervention
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