Analysis of Risk Factors Re-hemorrhage after Operatiion in Non-operation Area in Patients with Traumatic Intracerebral Hemorrhage
Hao Yong-gan
Abstract
Hao Yong-gan
Abstract
Objective: To retrospectively analyze the risk factors re-hemorrhageafter operatiion in Non-operation Area in patients with traumatic intracerebral hemorrhage. Methods: Two hundred and forty patients with traumatic intracerebral hemorrhage were enrolled. Patients were divided into hemorrhage group(n=57) and no hemorrhage group(n=183) according to occurence of hemorrhage in the non-operation area after operation. All the clinical datas were analyzed. Results: The univariate analysis indicated that pre-albumin(PAB), Glasgow Coma Scale(GCS),volume of intracranial hematoma(VOL), white blood cell counts, glucose(GLU), time from injure to operation(TO) and midline shift were significantly different(P0.05) between the two groups. The multivariate binary Logistic regression analysis showed that GCS, GLU and TO were the independent risk factors for the re-bleeding after operatiion in non-operation area in patients with traumatic intracerebral hemorrhage, and the ROC curve showed that the three factors had a predictive value. Conclusion: Traumatic intracerebral hemorrhagic patients with low GCS, high level of GLU or early operation have a higher risk for rebleeding after operation in non-operative area.
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Objective: To retrospectively analyze the risk factors re-hemorrhageafter operatiion in Non-operation Area in patients with traumatic intracerebral hemorrhage. Methods: Two hundred and forty patients with traumatic intracerebral hemorrhage were enrolled. Patients were divided into hemorrhage group(n=57) and no hemorrhage group(n=183) according to occurence of hemorrhage in the non-operation area after operation. All the clinical datas were analyzed. Results: The univariate analysis indicated that pre-albumin(PAB), Glasgow Coma Scale(GCS),volume of intracranial hematoma(VOL), white blood cell counts, glucose(GLU), time from injure to operation(TO) and midline shift were significantly different(P0.05) between the two groups. The multivariate binary Logistic regression analysis showed that GCS, GLU and TO were the independent risk factors for the re-bleeding after operatiion in non-operation area in patients with traumatic intracerebral hemorrhage, and the ROC curve showed that the three factors had a predictive value. Conclusion: Traumatic intracerebral hemorrhagic patients with low GCS, high level of GLU or early operation have a higher risk for rebleeding after operation in non-operative area.
Key concepts: Glasgow Coma Scale, Medicine, Intracerebral hemorrhage, Logistic regression, Hematoma, Intracranial hematoma, Univariate analysis, Midline shift