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首页> 外文期刊>Annals of Indian Academy of Neurology >Modifying the Intracerebral Hemorrhage Score to Suit the Needs of the Developing World
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Modifying the Intracerebral Hemorrhage Score to Suit the Needs of the Developing World

机译：修改脑出血评分以适应发展中国家的需求

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Background: Published literature on intracerebral haemorrhage (ICH) from the Indian subcontinent is very scarce. The study aims to assess the prognostic factors influencing outcome and validating the ICH score which is widely used to prognosticate the disease in this financially constraint population. Prognosticating the outcome at the time of admission is important to customize treatment in a cost-effective manner. Materials and Methods: We conducted a prospective study of all Spontaneous ICH patients admitted from February 2015 to May 2016. Data pertaining to patient demographics, clinical findings, biochemical parameters and cranial computed tomography (CT) findings were recorded. mRS (modified Rankin score) was used to assess outcome at discharge and at three month follow up. Results: A total of 215 patients with hypertensive haemorrhage were analysed. The mean age of our cohort was 57.64 years and volume of bleed was 24.5ml. 73% pf patients with GCS30 were died at the end of 3 months. Twenty eight patients succumbed during hospitalization while 38 died after their discharge. Mortality rates were 5%,16%, 33%, 54% and 93% for ICH Scores of 0, 1, 2, 3 and 4. The rICH score after modifying the age parameter in the ICH score to 70 years had mortality rates of 6%,15%,25%,51%,75% and 100%. Conclusion: ICH Score failed to accurately predict mortality in our cohort. ICH is predominately seen at a younger age group in our country and hence have better outcomes in comparison to the west. We propose a minor modification in the ICH score by reducing the age criteria by 10 years to prognosticate the disease better in our population.
机译：背景：印度次大陆关于脑出血（ICH）的已发表文献非常稀少。这项研究旨在评估影响预后的预后因素并验证ICH评分，该评分被广泛用于对该经济拮据的人群进行疾病预后。入院时对结局进行预后对于以经济有效的方式定制治疗很重要。材料和方法：我们对2015年2月至2016年5月收治的所有自发性ICH患者进行了一项前瞻性研究。记录了有关患者人口统计学，临床发现，生化参数和颅脑CT表现的数据。 mRS（改良的Rankin评分）用于评估出院时和三个月随访时的结局。结果：共分析了215例高血压出血患者。我们队列的平均年龄为57.64岁，出血量为24.5ml。 73％的GCS30患者在3个月末死亡。二十八名患者在住院期间屈服，三十八名患者出院后死亡。 ICH评分分别为0、1、2、3和4时，死亡率分别为5％，16％，33％，54％和93％。将ICH评分中的年龄参数修改为70岁后，rICH评分的死亡率为6％，15％，25％，51％，75％和100％。结论：ICH评分未能准确预测我们队列中的死亡率。 ICH主要出现在我国较年轻的年龄段，因此与西方国家相比具有更好的治疗效果。我们建议将ICH年龄标准降低10岁，以对ICH评分稍作修改，以更好地预测该人群的疾病。

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