Đánh giá các yếu tố tiên lượng tử vong trên cắt lớp vi tính đa dãy ở bệnh nhân xuất huyết cầu não tại Bệnh viện Đa khoa tỉnh Phú Thọ

Abstract

Objective: To determine the prognostic factors of mortality risk on multislice computer tomography and to apply the Chung and Park classification, Huang's grading scale to calculate the 30-day risk of death in patients with pontine hemorrhage (PH) at Phu Tho Provincial General Hospital. Subject and method: A retrospective study was performed on 41 patients with clinical manifestations of pontine hemorrhagic who were subjected to multislice computed tomography at Phu Tho Provincial General Hospital from January, 2020 to April, 2023. PH description for age, sex, 30-day mortality, Glasgow coma score, diameter and PH volume, Huang's scale classification, Chung and Park classification and projections of 30-day mortality risk report. Result: Of the 41 patients, 16 patients died (39%), 25 patients survived (61%). Mean age 56.8 ± 13.1 (34-93). Men were more common than women (p=0.001). Glasgow score < 10, hemorrhage transverse diameter > 2.15cm with sensitivity (Se) = 93.8%, specificity (Sp) = 64%, accuracy (Acc) = 75.6%, hemorrhage volume > 8.5ml with Se = 81.3%, Sp = 88%, Acc = 85.36% were prognostic factors of mortality. According to the Chung and Park classification, the 30-day mortality rate of bleeding type I (78.6%), type II (40%), type III (27.3%), and type IV had no deaths. According to Huang's scale with scores of 0, 1, 2, 3, 4, the mortality rates were 5.9%, 22.2%, 75%, 100%, 100%, respectively. Huang's risk stratification scale had high value for predicting 30-day mortality from hemorrhage. Conclusion: MSCT has high value in determining some prognostic factors of mortality in patients with pontine hemorrhage. Huang's classification has higher value than the Chung and Park classification for predicting the risk of 30-day mortality.