Rashid H U, Amin R, Rahman A, Islam M R, Hossain M, Barua K K, Hossain M A
Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka.
Bangladesh Med Res Counc Bull. 2013 Apr;39(1):1-5. doi: 10.3329/bmrcb.v39i1.15789.
Spontaneous intracerebral hemorrhage (ICH) comprises 10-15% of all strokes and has a higher risk of morbidity and mortality (40-45%). A simple and widely valid clinical grading scale, the Intracerebral Hemorrhage Score (ICH score) was developed to predict to outcome of spontaneous ICH. The aim of the present study was to assess the relation between the ICH score and the surgical outcome of ICH by Glasgow Outcome Scale (GOS) at the 30th post ictus day in our perspective. This prospective study was done during the period of April 2009 to October 2010 in Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. Forty three cases were enrolled by set inclusion and exclusion criteria. Intracerebral Hemorrhage Score was calculated during admission and the surgical outcome of ICH was determined by GOS by face to face or telephone interview using structured questionnaire on their 30th post ictus day. Correlation between the ICH score and the surgical outcome of ICH was done by Pearson's correlation coefficient test. Value of r was found to be -0.635 which was statistically highly significant (p = .001) and the relation was found to be negative. Higher ICH score had unfavorable outcome As correlation between the ICH score and the surgical outcome of ICH was found statistically highly significant, it can be used widely as a grading scale in preoperative counseling. The use of ICH score could improve standardization of clinical treatment protocols and clinical research studies in ICH.
自发性脑出血（ICH）占所有中风的10%-15%，且发病和死亡风险更高（40%-45%）。为预测自发性脑出血的预后，人们开发了一种简单且广泛适用的临床分级量表——脑出血评分（ICH评分）。本研究的目的是从我们的角度评估脑出血评分与脑出血术后30天格拉斯哥预后量表（GOS）评估的手术结果之间的关系。这项前瞻性研究于2009年4月至2010年10月在达卡的班加班杜·谢赫·穆吉布医科大学（BSMMU）神经外科进行。通过设定的纳入和排除标准纳入了43例病例。入院时计算脑出血评分，并在发病后30天通过面对面或电话访谈使用结构化问卷，由GOS确定脑出血的手术结果。通过Pearson相关系数检验分析脑出血评分与脑出血手术结果之间的相关性。发现r值为-0.635，具有高度统计学意义（p = .001），且呈负相关。脑出血评分越高，预后越差。由于脑出血评分与脑出血手术结果之间的相关性具有高度统计学意义，因此它可广泛用作术前咨询的分级量表。使用脑出血评分可以提高脑出血临床治疗方案和临床研究的标准化程度。
