ĐÁNH GIÁ MỘT SỐ YẾU TỐ TIÊN LƯỢNG TỬ VONG TRÊN CẮT LỚP VI TÍNH ĐA DÃY PHỐI HỢP VỚI THANG ĐIỂM RICH Ở BỆNH NHÂN XUẤT HUYẾT NÃO TRÊN LỀU DO TĂNG HUYẾT ÁP

Abstract

Background and aims: Evaluation of some factors predicting mortality on multi-detector row computed tomography combined with the rICH score in patients with supratentorial intracranial haemorrhage due to hypertension, comparing the prognostication value with the ICH and MICH scores. Methods: A retrospective descriptive study on 124 patients with supratentorial intracranial haemorrhage due to hypertension at Phu Tho Provincial General Hospital from February 2022 to February 2024 to identify some factors predicting mortality in 90 days. Use the ROC curve to calculate the prognostication value of some mortality risk factors and compare the prognostication value of the rICH score with the ICH and MICH scores. Results: The sum of 124 patients was selected, including 91 men (73.38%); the Average age was 64.67±13.22; The 90-day mortality rate was 30.65%. The odds ratio shows age ≥70 (OR: 3.095; 95%CI: 1.3856.916), GCS ≤12 (OR: 69.067; 95%CI: 9.024-528.607), haemorrhage volume ≥30cm³ (OR: 3.176; 95%CI: 1.439-7.009), intraventricular haemorrhage (OR: 11.71; 95%CI: 4.145-33.079), IVHS >12 (OR:5, 95%CI: 1.625-15.386) are factors Independently predict the patient's risk of death. The rich score predicts 90-day mortality with the area under the curve: AUROC=0.863 (95%CI:0.79-0.918), a cutoff point >1, the sensitivity is 97.4% and Specificity 62.8%. Conclusion: Haemorrhage volume ≥30cm³, intraventricular haemorrhage, IVHS score>12, GCS score ≤12, the rICH scale has a high value in determining mortality prognosis in patients with supratentorial cerebral haemorrhage due to hypertension; However, the difference is not statistically significant when comparing the scales with each other.