Sequential therapy for non-thalamus supratentorial hypertensive intracerebral hemorrhages

L.-J. Yang, J.-L. Cui, T.-M. Wu, J.-L. Wu, Z.-Z. Fan, G.-S. Zhang

Department of Neurosurgery, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, China. horse90325@163.com

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• Neurology

OBJECTIVE: We sought to assess the effectiveness of sequential therapy for non-thalamus supratentorial hypertensive intracerebral hemorrhage (NTS-HICH).

PATIENTS AND METHODS: We retrospectively analyzed clinical data of 110 patients with HICH. The patients were admitted 72 hours after disease onset, and 43 patients received sequential therapy. The length of hospital stay, treatment costs, incidence of pulmonary infections, mortality rates and Modified Rankin Score (mRS) 1 and 3 months after NTS-HICH were compared between patients who received sequential or non-sequential therapies.

RESULTS: The length of hospital stay, treatment costs, and 1-month mortality rates were not significantly different between both groups. However, mortality rates at 3 months, incidence of pulmonary infection, and mRS at both 1 and 3 months were significantly better in patients who received sequential therapy.

CONCLUSIONS: Sequential therapy significantly improves the prognosis for patients with NTS-HICH.

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