Predictive Value of Early Nursing Scores on 90-Day Outcomes in Intracerebral Hemorrhage Patients.

BACKGROUND Multiple factors impact the prognosis of intracerebral hemorrhage (ICH). This study aimed to evaluate prognosis at 90 days after ICH in 561 patients using the numerical rating scale (NRS), the Braden scale, the Morse fall risk scale (MFS), and the enhanced modified early warning (MEW) scale. MATERIAL AND METHODS A retrospective study was performed among 561 patients with ICH diagnosed in our hospital. The primary outcome was the 90-day prognostic status, classified as poor or good. Disparities in NRS, Braden scale, MFS, and enhanced MEW scores were examined between the poor and good prognosis groups in ICH patients. RESULTS Among the 561 patients successfully followed up, 258 cases (46.0%) were classified as having a poor prognosis. The Braden scale was significantly higher in the good prognosis group than the poor prognosis group at 90 days after onset (P<0.001). The MFS and the MEW were significantly lower in the good prognosis group than the poor prognosis group at 90 days after onset (P<0.001), while NRS showed no differences (P>0.05). Poor prognosis at the 90-day mark was found to be independently associated with the Braden scale (P=0.012, OR=0.849, 95% CI [0.748, 0.965]), the MFS scale (P=0.001, OR=1.148, 95% CI [1.070, 1.232]), and the enhanced modified early warning (MEW) score (P=0.001, OR=1.093, 95% CI [1.064, 1.123]). CONCLUSIONS The early admission Braden scale, MFS and the enhanced MEW score exhibited independent associations with poor prognoses at 90 days after ICH onset.