Table 2. Clinical Outcomes for Medical and Endoscopic Treatment.
Comparison of safety and clinical outcomes between medical and endoscopic cohorts. GCS decline is defined as a drop in GCS of 2 or greater points during the first 24 hours of hospitalization. NIHSS decline is defined as a drop in NIHSS by 4 or greater points during the first 24 hours of hospitalization. The % mean hematoma reduction is defined as the mean reduction in hematoma size between the pre and post operative CT scans. Data from a single patient in the surgical group who experienced massive hematoma expansion before endoscopy was not included in this analysis. Hematoma enlargement of >33% was required to meet criteria for rebleed/expansion.
Medical | Endoscopic | |
---|---|---|
Admit GCS | 11+/−2 | 7 +/−1 |
% with GCS decline | 0 | 40% |
Mean admit NIHSS | 21+/−6 | 25+/−7 |
30 day NIHSS | 18+/−11 | 18+/−8 |
% with NIHSS decline | 25% | 20% |
% mRS <=2 at day 90 | 0 % | 0 % |
Mean mRS at day 90 | 4.5 +/−1 | 4.6 +/−1 |
Mean BI at day 90 | 25 +/−47 | 8 +/−18 |
% mean ICH volume change | + 78%+/−142 | -80% +/−13 |
% rebleed or expansion | 25% | 20% |
90 day mortality | 50% | 20% |
GCS = Glasgow Coma Scale, NIHSS = National Institute of Heath Stroke Scale, mRS = modified Rankin Score, BI = Barthel Index.