Modifying the details of aspiration operation may contribute to the improvement of prognosis of patients with ICH

Turk Neurosurg. 2012;22(1):13-20. doi: 10.5137/1019-5149.JTN.4219-11.0.

Abstract

Aim: The aim of the retrospective study was to compare the clinical efficacy of the traditional way of aspiration and the modified way of aspiration. MATERIAL and

Methods: Clinical data of total 159 patients with spontaneous intracerebral hemorrhage treated by traditional (group A, n=66) or modified (group B, n=93) way of aspiration (both combined with thrombolysis) were retrospectively analyzed. Reduction of clot volume in the first operation, rate of mortality and re-bleeding, complications, and long-term clinical outcomes of the two groups were compared.

Results: Twenty-five out of 159 patients (15.7%) died during in-hospital stay. The mortality and post-operation re-bleeding rate in group B (10.8% and 1.1%) were significantly lower than that in group A (22.7% and 9.1%), (P < 0.05). The BI scores of patients in group B (79.5±23.2) were significantly higher than that in group A (69.2±23.9), (P < 0.05).

Conclusion: Our data suggested that modifying details of aspiration operation may contribute to the improved prognosis of ICH patients.

Trial registration: ClinicalTrials.gov NCT00752024.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cerebral Hemorrhage / mortality
  • Cerebral Hemorrhage / surgery*
  • Drainage
  • Female
  • Follow-Up Studies
  • Glasgow Coma Scale
  • Glasgow Outcome Scale
  • Hospital Mortality
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Needles
  • Neurosurgical Procedures / adverse effects
  • Neurosurgical Procedures / methods*
  • Postoperative Complications / epidemiology
  • Prognosis
  • Recurrence
  • Retrospective Studies
  • Suction / adverse effects
  • Suction / methods*
  • Tomography, X-Ray Computed
  • Treatment Outcome

Associated data

  • ClinicalTrials.gov/NCT00752024