CÁC YẾU TỐ TIÊN LƯỢNG HỒI PHỤC LÂM SÀNG Ở BỆNH NHÂN NHỒI MÁU NÃO CẤP ĐƯỢC ĐIỀU TRỊ LẤY HUYẾT KHỐI CƠ HỌC

Abstract

Background: Endovascular thrombectomy with a mechanical device has been an effective method of treatment in acute ischemic stroke, an important heath issue in the world^1,2. In Vietnam, there are few studies investigating the prognostic factors of clinical recovery after thrombectomy with mechanical instruments. Objective: To identify prognostic factors for clinical recovery at 3 months after treatment in this group of patients. Methods: In a retrospectivelongitudinal study, we recruited 70 cases of acute cerebral infarction treated with mechanical thrombectomy and describe the outcome after treatment in this group of patients. The primary study variable was the functional status score (mRS) at the 3rd month post-stroke. Results: The rate of patients with good clinical recovery at 3 months after treatment with mRS 0-2 was 58,6% (41 patients), while the mortality rate was 11,4% (7 patients). Independent prognostic factors for clinical recovery at 3 months post-treatment included intracerebral hemorrhage (p=0,004), NIHSS at admission (p=0,010) and time to onset-intervention (p=0,049). Conclusions: Independent prognostic factors for clinical recovery at 3 months post-treatment included NIHSS at admission, time to onset-intervention, and intracerebral hemorrhage.