ĐÁNH GIÁ MỘT SỐ YẾU TỐ LÂM SÀNG, CẬN LÂM SÀNG VÀ SO SÁNH GIÁ TRỊ CÁC THANG ĐIỂM TIÊN LƯỢNG TỬ VONG Ở BỆNH NHÂN CHẢY MÁU NÃO NGUYÊN PHÁT TẠI BỆNH VIỆN ĐA KHOA TỈNH PHÚ THỌ

Abstract

Background and aims: To evaluate some clinical and paraclinical factors and mortality prognostic scores in patients with intracerebral haemorrhage. Methods: A retrospective descriptive study on 148 patients with intracerebral haemorrhage at Phu Tho General Hospital from January 2022 to September 2024 to identify some factors predicting mortality within 30 days. Logistic regression and ROC curves were used to calculate the prognostic value of some mortality risk factors, comparing the prognostic value of the scores with each other to find the best score. Results: Sample characteristics include males (72.3%), mean age 63.5±13.1. The 30-day mortality rate is 31.1%. The odds ratio showed that GCS≤8 (OR: 8.944; 95%CI: 1.01-79.184), hydrocephalus (OR: 24.087; 95%CI: 3.798-152.775), and haemorrhage expansion (OR: 87.601; 95%CI: 6.854-1119.567) were independent predictors of patient mortality. Compared with the ICH, mICH, FUNC, MICH, and rICH scores for 30-day mortality, the Essen score had AUROCs of 0.896 versus 0.862, 0.882, 0.865, 0.821, and 0.866, respectively. At the cutoff point >6, the sensitivity was 75.6%; the specificity was 90.2%. Conclusion: GCS score ≤8, hydrocephalus, and haemorrhage expansion were independent predictors of patient mortality. The Essen score had the best predictive value for mortality in patients with intracerebral haemorrhage compared to the ICH, mICH, FUNC, MICH, and rICH scores.