Skip to content
Research Article Open access CC BY 3.0

Long Term Outcome after Hemorrhagic Stroke Surgery (LOMSS) in Hong Kong Chinese

George Kwok Chu Wong, Sandy Wai Lam, Wai Sang Poon

Journal of Advances in Medicine and Medical Research · pp. 182–188 · Published 28 Dec 2012

10.9734/BJMMR/2013/1717

Abstract

Introduction: The benefits of surgical treatment to reduce ischemic penumbra and raised intracranial pressure have been challenged by results of randomized controlled clinical trial. With the lack of level I evidence, decision of whether to evacuate spontaneous intracerebral hematoma (ICH) surgically would be based on discussion with patients and families regarding long term surgical outcome. Aim: We aimed to assess the long-term functional and cognitive outcome of ICH surgery in Hong Kong Chinese in Hong Kong, and to determine a simple prognostication scoring system for clinical application. Methods: The study was carried out retrospectively in a regional neurosurgical center in Hong Kong. We identified 191 patients with ICH surgery performed between January 1999 and December 2008. 152(80%) patients had long-term neurological outcome data available for analyses. The study was registered at ClinicalTrials.gov (NCT01409252). Results: Long-term favorable neurological outcome (mRS 0-3) was reported in 27%. Favorable neurological outcome negatively correlated with age, male sex, medical co-morbidities, and positively correlated with admission Glasgow Coma Scale. Long-term favorable cognitive outcome was negatively correlated with age. Conclusion: In ICH patients, functional outcome was influenced by age, admission GCS, medical co-morbidities, and male gender, but cognitive outcome was independently associated with age alone.

Intracranial hemorrhage outcome stroke surgery

References (15)

  1. 1 The ICH Score [DOI]
  2. 2 Stroke in China: epidemiology, prevention, and management strategies [DOI]
  3. 3 Simplified Modified Rankin Scale Questionnaire [DOI]
  4. 4 Prospective validation of the ICH Score for 12-month functional outcome [DOI]
  5. 5 Surgery for primary supratentorial intracerebral haemorrhage [DOI]
  6. 6 The treatment of spontaneous intracerebral hemorrhage [DOI]
  7. 7 Indications for surgical treatment of putaminal hemorrhage [DOI]
  8. 8 Comparison of Recovery Patterns and Prognostic Indicators for Ischemic and Hemorrhagic Stroke in China [DOI]
  9. 9 Trends in Stroke Incidence in Hong Kong Differ by Stroke Subtype [DOI]
  10. 10 Cognitive Outcomes and Activity of Daily Living for Neurosurgical Patients with Intrinsic Brain Lesions: A 1-year Prevalence Study [DOI]
  11. 11 A prospective study of a series of 356 patients with supratentorial spontaneous intracerebral haematomas treated in a Neurosurgical Department [DOI]
  12. 12 SPONTANEOUS CEREBRAL HEMORRHAGE [DOI]
  13. 13 CT indications for surgery and evaluation of prognosis in patients with spontaneous intracerebral haematomas [DOI]
  14. 14 Outcomes Validity and Reliability of the Modified Rankin Scale: Implications for Stroke Clinical Trials [DOI]
  15. 15 Telephone Interview for Cognitive Status [DOI]

Cited by 1

LOW TOTAL CHOLESTEROL SERUM LEVELS AS A POOR OUTCOME PREDICTOR FOR INTRA-CEREBRAL HEMORRHAGE STROKE

I. Gusti Agung Gede Ariswanda, I. Adnyana, I. Widyadharma · 2020

Related research

Article metrics

Real usage data collected on this platform.

8

Page views

0

PDF downloads

0

Outbound clicks

1

Citations

Views over time

Views by country

Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".

Traffic sources

Referring site, by host.

Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.