[A multi-factorial approach in the vital prognosis of spontaneous intracerebral hematoma]

Rev Neurol (Paris). 1988;144(4):279-83.
[Article in French]

Abstract

The prognostic assessment of a patient with intra-cerebral hemorrhage (IH) requires simultaneous appraisal of several parameters. We have attempted this with a multivariate method: discriminant analysis. We studied retrospectively 142 patients with non-operated IH, not due to vascular malformation, distributed two months after the initial event in two groups: 92 living patients and 50 dead. Discriminant analysis of 21 parameters from the initial examination and CT scan, selected five factors which best separate the two groups, since 89% of the patients were well classified. These five parameters (age, consciousness impairment, temperature, volume of the hematoma and ventricular hemorrhage) combined, give a prognostic score which gives for each patient his probability of survival or death. The validity of the proposed model was controlled on a test-sample of 66 patients from another department. The possibility of giving a trustworthy spontaneous prognosis on the first day can enable the evaluation of the possible benefit from surgery, which we illustrated with a group of 23 operated patients.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Age Factors
  • Aged
  • Body Temperature
  • Cerebral Hemorrhage / pathology
  • Cerebral Hemorrhage / physiopathology*
  • Cerebral Ventricles / pathology
  • Consciousness
  • Hematoma / pathology
  • Hematoma / physiopathology*
  • Humans
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Statistics as Topic