Prediction of Death in Intracerebral Hemorrhage Patients After Minimally Invasive Surgery by Vital Signs and Blood Glucose

作者全名：Wu, Fang; Wu, Chuyue; Wu, Qingyuan; Yan, Fei; Xiao, Yaping; Du, Cuiping

作者地址：[Wu, Fang; Wu, Chuyue; Wu, Qingyuan; Du, Cuiping] Chongqing Univ, Three Gorges Hosp, Dept Neurol, Wanzhou, Peoples R China; [Wu, Fang; Wu, Chuyue; Wu, Qingyuan; Yan, Fei; Xiao, Yaping; Du, Cuiping] Chongqing Univ, Sch Med, Chongqing, Peoples R China; [Wu, Chuyue; Wu, Qingyuan; Yan, Fei] Chongqing Univ, Three Gorges Hosp, Chongqing Municipal Clin Res Ctr Geriatr Dis, Wanzhou, Peoples R China; [Wu, Chuyue; Wu, Qingyuan] Chongqing Med Univ, Affiliated Hosp 1, NHC Key Lab Diag & Treatment Brain Funct Dis, Chongqing, Peoples R China; [Xiao, Yaping] Chongqing Univ, Three Gorges Hosp, Dept Pharm, Chongqing, Peoples R China

通信作者：Du, CP (通讯作者)，Chongqing Univ, Three Gorges Hosp, Dept Neurol, Wanzhou, Peoples R China.; Du, CP (通讯作者)，Chongqing Univ, Sch Med, Chongqing, Peoples R China.

来源：WORLD NEUROSURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001226479100001

JCR分区：Q2

影响因子：1.9

年份：2024

卷号：184

期号：　

开始页：E84

结束页：E94

文献类型：Article

关键词：Key; Blood glucose; Death; Intracerebral hemorrhage; Minimally invasive surgery; Vital signs

摘要：- OBJECTIVE: This study examined the impact of vital signs and blood glucose levels on the long-term prognosis of intracerebral hemorrhage (ICH) patients treated with minimally invasive surgery (MIS). - METHODS: The patients diagnosed with ICH and treated with MIS within 24 hours of admission at the ** Hospital between January 2020 and October 2021 were included. The relationship between a range of indicators, including vital signs, blood glucose levels, and patient mortality at discharge and 3 or 12 months postdischarge were analyzed. - RESULTS: A total of 195 consecutive patients were included, of which 16 patients passed away during hospitalization, 29 and 34 within 3 and 12 months postdischarge, respectively. The multivariate analysis revealed that hospital death positively correlated with age .66.50 years, fasting blood glucose .8.25 mmol/L on the third day after MIS, systolic blood pressure .166.00 mmHg on the third day, and heart rate .89.50 beats/min at discharge (area - nder the curve [AUC] = 0.927). Death at 3 months positively correlated with male sex, blood glucose before dinner .8.15 mmol/L on the second day after MIS, body temperature .36.95 degrees C at discharge, and heart rate .89.50 beats/minute at discharge (AUC = 0.810). Death at 12 months positively correlated with age .61.50 years, body temperature .36.95 degrees C at discharge, and heart rate .92.50 beats/min on the third day after MIS (AUC = 0.824). - CONCLUSIONS: The prognosis of ICH patients after MIS is closely related to their vital signs and blood glucose levels at various stages of hospitalization.

基金机构：Major Project of Joint of Science and Health Foundation of Chongqing Science and Technology Bureau [2019ZDXM048]; National Natural Science Foundation of China [12102072]; China Postdoctoral Science Foundation [2022MD713718]; Chongqing Natural Science Foundation [2022NSCQ-BHX5277]

基金资助正文：Conflict of interest statement: This work was supported by the Major Project of Joint of Science and Health Foundation of Chongqing Science and Technology Bureau (No. 2019ZDXM048) , National Natural Science Foundation of China (No. 12102072) , China Postdoctoral Science Foundation (No. 2022MD713718) and Chongqing Natural Science Foundation (No. 2022NSCQ-BHX5277) .