Evidence map›Paper›PMID 25225585›Full record

ArticleWorld journal of emergency medicine2014

Relationship between different surgical methods, hemorrhage position, hemorrhage volume, surgical timing, and treatment outcome of hypertensive intracerebral hemorrhage.

Feng-Ling Chi, Tie-Cheng Lang, Shu-Jie Sun, Xue-Jie Tang, Shu-Yuan Xu, Hong-Bo Zheng, Hui-Song Zhao

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Article in World journal of emergency medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Feng-Ling ChiDepartment of Neurosurgery, Shanghai 7th Hospital, Shanghai 200137, China.
Tie-Cheng LangYueyang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China.
Shu-Jie SunEmergency Medicine Department, Dongfang Hospital of Shanghai, Shanghai, China.
Xue-Jie TangSecond Hospltal of Dalian Medical University, Dlian, China.
Shu-Yuan XuShanghai Pudong New Area Gongli Hospital, Shanghai, China.
Hong-Bo ZhengFirst People's Hospital of Qiqihaer City, Heilongjiang Province, China.
Hui-Song ZhaoThird Affiliated Hospital, Qiqihar Medical College, Heilongjiang Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe present study aimed to explore the relationship between surgical methods, hemorrhage position, hemorrhage volume, surgical timing and treatment outcome of hypertensive intracerebral hemorrhage (HICH).

methodsA total of 1 310 patients, who had been admitted to six hospitals from January 2004 to January 2008, were divided into six groups according to different surgical methods: craniotomy through bone flap (group A), craniotomy through a small bone window (group B), stereotactic drilling drainage (group C1 and group C2), neuron-endoscopy operation (group D) and external ventricular drainage (group E) in consideration of hemorrhage position, hemorrhage volume and clinical practice. A retrospective analysis was made of surgical timing and curative effect of the surgical methods.

resultsThe effectiveness rate of the methods was 74.12% for 1 310 patients after one-month follow-up. In this series, the disability rate was 44.82% 3-6 months after the operation. Among the 1 310 patients, 241 (18.40%) patients died after the operation. If hematoma volume was >80 mL and the operation was performed within 3 hours, the mortality rate of group A was significantly lower than that of groups B, C, D, and E (P<0.05). If hematoma volume was 50-80 mL and the operation was performed within 6-12 hours, the mortality rate of groups B and D was lower than that of groups A, C and E (P<0.05). If hematoma volume was 20-50 mL and the operation was performed within 6-24 hours, the mortality rate of group C was lower than that of groups A, B and D (P<0.05).

conclusionsCraniotomy through a bone flap is suitable for patients with a large hematoma and hernia of the brain. Stereotactic drilling drainage is suggested for patients with hematoma volume less than 80 mL. The curative effect of HICH individualized treatment would be improved via the suitable selection of operation time and surgical method according to the position and volume of hemorrhage.

Indexed as

Hemorrhage positionHemorrhage volumeHypertensive intracerebral hemorrhageIndividualizedPolycentricStereotactic drilling drainageSurgical timingTreatment effect

Identifiers

PMID25225585
PMCPMC4163813

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