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Clinical features and prognostic factors in patients with intraventricular hemorrhage caused by ruptured arteriovenous malformations. 2016 1(1):23-7.Ĭhen S, Luo J, Reis C, Manaenko A, Zhang J.Hydrocephalus after subarachnoid hemorrhage: pathophysiology, diagnosis, and treatment. Mechanisms of hydrocephalus after intraventricular haemorrhage in adults. Epidemiology, risk factors, and clinical features of intracerebral hemorrhage: an update. Determinants of external ventricular drain placement and associated outcomes in patients with spontaneous intraventricular hemorrhage. Herrick DB, Ullman N, Nekoovaght-Tak S, Hanley DF, Awad I, LeDroux S, et al. Inflammatory response to intraventricular hemorrhage: time course, magnitude and effect of t-PA. Hallevi H, Walker KC, Kasam M, Bornstein N, Grotta JC, Savitz SI.
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Keywords: prognosis, IVH, ICH, EVD, Cileungsi Hospital EVD did not improve the outcome in IVH patients nor patients with ICH-IVH.Ĭonclusion: EVD did not improve the prognosis of spontaneous concomitant ICH-IVH or spontaneous IVH patients, but it still needs to be inserted in case of developing obstructive hydrocephalus that might be lethal. GCS score (p=0.034) correlated significantly with the prognosis of concomitant ICHIVH patients that had EVD insertion with correlation coefficient 0.671. Blood in the fourth ventricle made a significant difference between EVD and non-EVD groups in the concomitant ICHIVH group (p=0.035). Results: 100 patients were diagnosed with ICH, five patients IVH, 16 patients ICH and IVH.
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To determine factors contributing to the good prognosis of EVD, Spearman Correlation test was used with STATA 15 software. We made comparisons between EVD insertion group and non-EVD group based on sex, age, pulse pressure, Glasgow Coma Scale (GCS), bleeding volume, score of bleeding volume in ventricle lateral, third and fourth based on CT scan, Charlson Comorbid Index (CCI) and modified Rankin Scale (mRS). Methods: This cross-sectional retrospective study included IVH patients and concomitant ICH-IVH that required or not EVD in Cileungsi Hospital from January to December 2018. This study was aimed to demonstrate prognostic factors of IVH and whether EVD insertion might improve the outcome. However, EVD is still an optional procedure because it is not always proven effective. External Ventricular Drain (EVD) is inserted to reduce intracranial pressure that resulted from the progression of IVH. Kata kunci: prognosis, IVH, ICH, EVD, RSUD Cileungsiīackground: Intraventricular haemorrhage (IVH) worsen the prognosis of Intracerebral hematoma (ICH). EVD tidak memperbaiki keluaran pasien ICH-IVH spontan atau pasien IVH spontan tetapi sebaiknya dilakukan karena kemungkinan progresivitas menjadi hidrosefalus yang tipe penyumbatan yang dapat berakhir kematian. Indikasi EVD pada adanya darah di ventrikel empat. Kesimpulan: GCS yang tinggi berkorelasi dengan prognosis baik pada grup ICH-IVH. EVD tidak memperbaiki keluaran dari IVH pasien atau ICH- IVH pasien. Skor GCS (p=0,034) berhubungan signifikan dengan prognosis ICH-IVH pasien dengan koefisien korelasi 0,671. Perdarahan di ventrikel empat merupakan pembeda yang signifikan antara pasien yang mendapatkan EVD atau tidak pada kelompok ICH-IVH (p=0,035). Hasil: 100 pasien datang dengan diagnosis ICH spontan, 5 pasien IVH, dan 16 pasien ICH-IVH. Untuk mengetahui faktor yang berperan dalam perbaikan keluaran dari pasien dengan EVD dilakukan analisis Spearman Correlation test (STATA 15). Perbandingan antara grup EVD dan tidak berdasarkan jenis kelamin, umur, pulse pressure, Glasgow Coma Scale (GCS), jumlah perdarahan, skor volume perdarahan di ventrikel lateral, ketiga dan keempat pada CT scan, Charlson Comorbid Index (CCI) dan modified Rankin Scale (mRS). Metode: Penelitian potong-lintang retrospektif yang mengikutsertakan pasien IVH dan ICH yang berekstensi IVH(ICH-IVH) dengan EVD dan tidak di RSUD Cileungsi pada Januari sampai Desember 2018. Penelitian ini memperlihatkan faktor yang mempengaruhi keluaran pada pasien perdarahan intraventrikel dan apakah EVD memperbaiki keluaran pada pasien tersebut. Meskipun demikian, EVD merupakan prosedur pilihan karena terbukti tidak selalu efektif. Prosedur drainage cairan serebrospinal dari ventrikel otak (external ventricle drainage=EVD) bertujuan menurunkan tekanan intrakranial yang tinggi dikarenakan progresivitas IVH. Latar Belakang: Perdarahan intraventrikel otak (intraventricular haemorrhage=IVH) memperburuk prognosis pada perdarahan intraserebri (intracerebral haematoma=ICH).