Nghiên cứu áp dụng thang điểm chảy máu não (ICH-GS) trong tiên lượng bệnh nhân chảy máu não nguyên phát tại Khoa Cấp cứu

Abstract

Background: Cerebral hemorrhage accounts for 10 to 20% of all strokes. Although treatment advancements have greatly reduced mortality rates, the path to recovery remains uncertain, highlighting the need for ongoing research and support for affected individuals, underscoring the importance of accurate prognosis. The widely used ICH Grading Scale is globally validated, but its applicability to predicting outcomes for Vietnamese patients with ICH is not yet fully established. Objective: This study seeks to validate the effectiveness of the ICH grading scale in accurately predicting favorable prognosis and mortality at discharge and 30 days for a cohort of ICH patients in the Emergency Department. Subject and method: Cross-sectional study: records of all patients with acute primary ICH presenting to the Emergency Department of Vinmec General International Hospital from June 2021 to May 2024. Result: Out of a total of 87 ICH patients, 12 (13.7%) experienced 30-day mortality. The ICH-GS score demonstrated strong predictive ability for 30-day mortality, with an impressive Area Under Curve (AUC) value of 0.89 (p<0.001). Similarly, the ICH-GS score showed a high predictive power for 30-day outcomes based on the reduced level of NIHSS score. Conclusion: The ICH-GS validation is essential for effectively predicting mortality and 30-day outcomes.