Prognostic Factors in Patients with Primary Pontine Hemorrhage in Mahasarakham Hospital

Authors

  • Sripontan S, Innok J, Sawangsri W

Keywords:

Prognostic indicators, Primary pontine hemorrhage

Abstract

Background : Primary pontine hemorrhage (PPH) is one of the most common sites of spontaneous intracerebral hemorrhage associated with poor controlled hypertension. An unpredictable prognosis is usually presumed in these cases due to its function as a vital neurological center. 

Objective : To discover the prognostic indicators in PPH patients in the aspect of age, sex, GCS, hematoma volume, and PPH type in Mahasarakham Hospital.

Method : The retrospective study of sixty-seven PPH patients during January 2012 to July 2019 had been conducted; the outcome was divided into two groups based on hospital discharge type, improved and not improved (against advice and dead) group. A Chi-square test was used.

Result : The indicators which help to predict good outcomes were the good level of consciousness presenting on admission, hematoma volume<10 ml, and the small unilateral type of PPH. Age and sex were not predictor of outcome. Although there was no significant difference in the length of hospital stay between the improved and not improved groups, the discharge planning was definitely different because the not improved group was most likely going against advice. Moreover, at 3-month follow up, a small unilateral type showed more significant favorable outcome than other groups.

Conclusion : The prognostic indicators in PPH patients in Mahasarakham Hospital were GCS at the admission time, hematoma volume, and PPH type.

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Published

04-01-2021

How to Cite

1.
สมคริต ศรีพลแท่น พ.บ., จีรพร อินนอก พย.ม., วัฒนา สว่างศรี พย.บ. Prognostic Factors in Patients with Primary Pontine Hemorrhage in Mahasarakham Hospital. j dept med ser [Internet]. 2021 Jan. 4 [cited 2022 Aug. 8];45(3):76-81. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/248601

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Section

Original Article