Table 2.
In-hospital management and outcomes of ICH patients.
| Actual treatments number of cases | Should be taken number of cases by guideline/All Number | % | |
|---|---|---|---|
| Transported to hospital by ambulance | 689 | 1,355 | 50.8 |
| Assessment NIHSS score on admission | 121 | 1,355 | 8.9 |
| Assessment GCS score on admission | 208 | 1,355 | 15.3 |
| NEUROIMAGING ASSESSMENT | |||
| CTA/MRA/CTV/MRV | 194 | 1,355 | 14.3 |
| Review of neuroimaging (CT/MRI) | 1,129 | 1,355 | 83.3 |
| HEMOSTASIS/ANTIPLATELET TREATMENT | |||
| Coagulopathy§ | 28 | - | - |
| Reversal therapy by one or more of platelet, vitamin K, FFP, and PCCs | 19 | 28 | 67.9 |
| DVT PROPHYLAXIS | |||
| Bedridden within 48 h after onset | 991 | - | - |
| One or more of IPC and ES | 221 | 991 | 22.3 |
| General monitoring | |||
| Treated at the Neuro-ICU | 193 | 1,355 | 14.2 |
| Treated at the Stroke unit | 66 | - | - |
| Treated at the Neurology ward | 458 | - | - |
| Treated at the Neurosurgery ward | 473 | - | - |
| MANAGEMENT OF GLUCOSE | |||
| Random blood glucose ≥11.1 mmol/L on admission | 343 | ||
| Glucose monitoring within 24 h of onset | 302 (22.3) | 343 | 88.0 |
| Received hypoglycemic therapy mainly with insulin | 267 (19.7) | 343 | 77.8 |
| MANAGEMENT OF SEIZURES | |||
| Clinical seizures or electroencephalography seizures | 61 | - | - |
| Patients presented with seizures received antiepileptic treatment | 56 | 61 | 91.8 |
| Patients presented without seizures received prophylactic antiepileptic treatment | 95 | - | - |
| NEUROSURGICAL INTERVENTION FOR CEREBELLUM HEMATOMA | |||
| Indications for surgery | 22 | - | - |
| Received surgery | 11 | 22 | 50.0 |
| OUTCOME AT DISCHARGE (AS MEASURED BY THE MODIFIED RANKIN SCALE) | |||
| 0–2 | 429 | 1,355 | 31.7 |
| 3–5 | 594 | 1,355 | 43.8 |
| 6 | 332 | 1,355 | 24.5 |
| PREVENTION OF RECURRENT ICH FOR SURVIVORS AFTER DISCHARGE | |||
| Health education | 950 | 1,023 | 92.9 |
| Antihypertensive treatment | 595 | 704 | 84.5 |
NIHSS, National Institutes of Health Stroke Scale; GCS, Glasgow Coma Score; CTA, CT angiography; CTV, CT venography; MRA, magnetic resonance angiography; MRV, magnetic resonance venography; CT, computerized tomography; MRI, magnetic resonance imaging; FFP, fresh frozen plasma; PCC, prothrombin complex concentrates; DVT, deep vein thrombosis; IPC, intermittent pneumatic compression; ES, elastic stockings; Neuro-ICU, neurological intensive care unit.
§
Defined as platelet ≤ 70*109/L or international normalized ration ≥2.0.