万隆哈桑萨迪金总医院外伤性脑出血患者预后预测因素

Tara M Mulyawan, M. Arifin, F. P. Tjahjono
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摘要

对病人结果的预测可以帮助医生做出决定。脑出血合并脑损伤可增加病死率,但对外伤性脑出血患者预后的具体研究尚不多见。本研究的目的是确定2017年1月至12月RSHS期间影响外伤性脑出血患者预后的因素。本研究采用横断面法、分类比较分析法进行观察性研究。该研究涉及60例创伤性脑出血患者。在RSHS住院的15年。采用卡方统计检验、Eta相关检验和权变系数对数据进行单因素和双因素分析。结果显示,年龄(p = 0.003)、入院时GCS评分(p <0.001)和是否存在其他脑出血(p = 0.050)显著影响患者的预后。性别(p = 0.932)、损伤机制(p = 0.739)和瞳孔反应(p = 0.056)对结果无显著影响。综上所述,影响外伤性脑出血患者预后的因素有年龄、GCS评分、有无其他脑出血。关键词:脑出血,外伤,预测因素,预后
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Outcome Predictors in Patient with Traumatic Intracerebral Hemorrhage in Hasan Sadikin General Hospital Bandung
Predictions about patient outcomes can help doctors make decisions. Intracerebral hemorrhage acccompanied by brain injury can increase mortality but specific studies on outcomes of patients with traumatic intracerebral hemorrhage are still rare. The purpose of this study was to determine the factors that influence the outcome of traumatic intracerebral hemorrhage patients in the RSHS period from January to December 2017. This is an observational study with cross sectional method, categorical comparative analytic. The study involved 60 traumatic intracerebral hemorrhages aged ? 15 years who were hospitalized in RSHS. The data was analyzed univariately and bivariately using Chi Square statistical test, Eta correlation test and contingency coefficient. The results showed age (p = 0.003), GCS scores assessed at admission (p <0.001), and the presence or absence of other brain hemorrhages (p = 0.050) significantly affected the patient's outcome. Gender (p = 0.932), mechanism of injury (p = 0.739), and pupillary response (p = 0.056) did not affect the outcome significantly. In conclusion, the factors that influence the outcome of traumatic intracerebral hemorrhage patients are age, GCS score, and presence or absence of other brain hemorrhages.   Keywords: intracerebral hemorrhage, trauma, predictors, outcome
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