ABSTRACT
Objectives: To determine the functional outcome in patients with supratentorial intracerebral hemorrhage after surgical intervention
Study Design: Retrospective descriptive study
Place and Duration of Study: This study was carried out at the department of Neurosurgery, Combined Military Hospital Rawalpindi [CMH], from Jan 2015 to Dec 2015
Material and Methods: Retrospectively the records of eighty two patients with a diagnosis of supratentorial hypertensive intracerebral bleed on computed tomography scan [CT] brain, who were surgically managed in our department over one year period, were collected and evaluated. All the patients had undergone clinical examination, baseline investigations including complete blood counts, urea, creatinine, electrolytes, prothrombin time [PT], partial thromboplastin time [PTTK], electrocardiography [ECG] and chest x-ray. In case of deranged coagulation profile platelets or fresh frozen plasma were transfused preoperatively. Outcome of patients was assessed by Glasgow outcome scale [GOS] at 3 months after surgery. A GOS score of 4 and 5 was considered favorable outcome and score of 1, 2 and 3 was considered unfavorable outcome, and these were noted in proforma. Descriptive statistics for age, gender, hospital stay and clinical outcome were calculated by using SPSS version 20
Results: Eighty two patients of supra tenteorial bleed were operated over the study period. The mean age of patients was 44.82 +/- 9.25 years and the average hospital stay was 13.21 +/- 4.41 days. Fifty six patients [68.3 percent] were male while 26 [31.7 percent] were female. Favorable outcome at three months was observed only in 24 patients [29.26 percent] while unfavorable outcome in 58 [70.73 percent] cases
Conclusion: Unfavorable results at three months after surgery were observed in 70.73 percent of patients in our sample suggesting poor functional outcome in early evacuation of supratentorial bleed