gms | German Medical Science

68th Annual Meeting of the German Society of Neurosurgery (DGNC)
7th Joint Meeting with the British Neurosurgical Society (SBNS)

German Society of Neurosurgery (DGNC)

14 - 17 May 2017, Magdeburg

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Predicting of short-term outcome in spontaneous cerebral hemorrhage, can we rely on the outcome grading scores?

Meeting Abstract

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  • Diaa Al Safatli - Universitätsklinikum Jena, Klinik und Poliklinik für Neurochirurgie, Jena, Deutschland
  • Rolf Kalff - Universitätsklinikum Jena, Klinik für Neurochirurgie, Jena, Deutschland
  • Christian Ewald - Brandenburg, Deutschland

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocDI.28.08

doi: 10.3205/17dgnc352, urn:nbn:de:0183-17dgnc3526

Published: June 9, 2017

© 2017 Al Safatli et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: Intracerebral hemorrhage (ICH) is a life threatening entity, and an early outcome assessment is mandatory for optimizing therapeutic efforts.

Methods: We retrospectively analyzed data from 342 patients with spontaneous primary ICH, treated in our institution in the last 8 years, to evaluate possible predictors of 30-day mortality considering clinical, radiological, and therapeutical parameters. Then we applied the three widely accepted outcome grading scoring systems [(ICH score, FUNC score and intracerebral hemorrhage grading scale (ICH-GS)] on our population to evaluate the correlation of these scores with the 30-day mortality.

Results: From 342 patients (mean age: 67 years, mean Glasgow Coma Scale [GCS] on admission: 9, mean ICH volume: 62.19 ml, most common hematoma location: basal ganglia [43.9%]), 102 received surgical and 240 conservative treatment. The 30-day mortality was 25.15%. In a multivariate analysis, basal GCS, bleeding volume and infratentorial hematoma location were significant predictors for the 30-day mortality. Regading the validatied outcome grading scores, we found, using Pearson correlation, a correlation of 0.986 between ICH score and 30-day mortality (P < 0.001), 0.853 between FUNC score and 30-day mortality (P = 0.001), and 0.924 between ICH-GS and 30-day mortality (P = 0.001).

Conclusion: Our study compared three validated outcome grading scores and showed that the ICH score and the ICH-GS accurately predict short-term mortality. The FUNC score, originally designed to estimate the 90-day outcome, correlated to a lesser degree with the mortality at 30 days in our study cohort.