Early surgery for superficial supratentorial spontaneous intracerebral hemorrhage: a Finnish Intensive Care Consortium study.

摘要: The benefits of early surgery in cases superficial supratentorial spontaneous intracerebral hemorrhage (ICH) are unclear. This study aimed to assess the association between ICH and outcome, as well cost-effectiveness surgery. We conducted a retrospective, register-based multicenter that included all patients who had been treated for four tertiary intensive care units Finland 2003 2013. To be included, needed have experienced ICHs were 10–100 cm3 located within 10 mm cortex. used multivariable analysis, adjusting severity illness probability surgical treatment, independent (≤ 1 day), 12-month mortality rates, survival without permanent disability. In addition, we assessed by examining effective cost per 1-year survivor (ECPS) (ECPIS). Of 254 patients, 27% group. Overall was 39%, while 29% survived According our associated with lower rates (odds ratio [OR] 0.22, 95% confidence intervals [CI] 0.10–0.51), but not higher disability (OR 1.23, CI 0.59–2.56). For group, ECPS ECPIS €111,409 €334,227, respectively. non-surgical cohort, €76,074 €141,471, Early is risk Further, costs was, thus, worse cohort.