Prediction of Death in Intracerebral Hemorrhage Patients After Minimally Invasive Surgery by Vital Signs and Blood Glucose
WORLD NEUROSURGERY(2024)
Abstract
- OBJECTIVE: This study examined the impact of vital signs and blood glucose levels on the long-term prognosis of intracerebral hemorrhage (ICH) patients treated with minimally invasive surgery (MIS). - METHODS: The patients diagnosed with ICH and treated with MIS within 24 hours of admission at the ** Hospital between January 2020 and October 2021 were included. The relationship between a range of indicators, including vital signs, blood glucose levels, and patient mortality at discharge and 3 or 12 months postdischarge were analyzed. - RESULTS: A total of 195 consecutive patients were included, of which 16 patients passed away during hospitalization, 29 and 34 within 3 and 12 months postdischarge, respectively. The multivariate analysis revealed that hospital death positively correlated with age .66.50 years, fasting blood glucose .8.25 mmol/L on the third day after MIS, systolic blood pressure .166.00 mmHg on the third day, and heart rate .89.50 beats/min at discharge (area - nder the curve [AUC] = 0.927). Death at 3 months positively correlated with male sex, blood glucose before dinner .8.15 mmol/L on the second day after MIS, body temperature .36.95 degrees C at discharge, and heart rate .89.50 beats/minute at discharge (AUC = 0.810). Death at 12 months positively correlated with age .61.50 years, body temperature .36.95 degrees C at discharge, and heart rate .92.50 beats/min on the third day after MIS (AUC = 0.824). - CONCLUSIONS: The prognosis of ICH patients after MIS is closely related to their vital signs and blood glucose levels at various stages of hospitalization.
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Key words
Key,Blood glucose,Death,Intracerebral hemorrhage,Minimally invasive surgery,Vital signs
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