KẾT QUẢ ĐIỀU TRỊ VÀ YẾU TỐ TIÊN LƯỢNG BỆNH NHÂN XUẤT HUYẾT NÃO ĐƯỢC HỒI SỨC TÍCH CỰC TẠI BỆNH VIỆN QUÂN Y 175

Abstract

Objective: To evaluate treatment outcomes and analyze prognostic factors in patients with intracerebral hemorrhage (ICH) receiving intensive care at Military Hospital 175. Subjects and Methods: A prospective descriptive and analytical study was conducted on 83 patients with ICH admitted to the intensive care unit at Military Hospital 175 from December 2023 to December 2024. Results: Among 83 patients, the mean age was 61.3 ± 13.5 years; 38.6% were aged ≥ 65 years, and 67.5% were male. Hypertension and diabetes mellitus were present in 75.9% and 25.3% of cases, respectively. The mean Glasgow Coma Scale (GCS) score at admission was 8.4 ± 3.1, with 57.8% having GCS ≤ 8. Invasive mechanical ventilation was required in 79.5% of patients, and 33.7% underwent neurosurgical interventions. In-hospital mortality was 37.3%; 32.5% survived with severe disability. Multivariate logistic regression identified GCS ≤ 8 (OR = 5.12; p < 0.001), age ≥ 65 years (OR = 3.42; p = 0.015), brainstem hemorrhage (OR = 2.98; p = 0.036), and lactate > 2.5 mmol/L (OR = 4.76; p < 0.01) as independent predictors of mortality. Conclusion: Intracerebral hemorrhage is associated with high rates of mortality and disability despite intensive treatment. Advanced age, low Glasgow Coma Scale scores, brainstem hemorrhage, and elevated blood lactate levels are important prognostic factors that require close monitoring during clinical management.