PROGNOSTIC SYSTEM FOR OPERATIVE OUTCOMES IN GERIATRIC PATIENTS WITH SUPRATENTORIAL INTRACRANIAL HEMORRHAGIES OF HYPERTENSIVE ORIGIN

摘要

The invention is in medicine, in the field of neurosurgery, and is applicable in determination of operative outcomes in geriatric patients with supratentorial intracranial hemorrhages of hypertensive origin.@The system contains 6 features (risk factors) determining surgical prognosis: systemic illness, clinical-anatomical classification of intracranial hemorrhage, intracranial hypertension, hydrocephalus, clinical status on the day of surgery, time from event to surgery. Prognostication of surgical management is performed calculating the log of odds (Y) using the following formula:@Y = 22.35-3.72X1-3.51X2+0.91X3-0.15X4-2.94X5+0.13X6 ,@where X0, X1, X2, ..., X6 - the values of prognostic factors in individual patient.@When Y>0 the prognosisof the surgical outcome is survival, when Y<0 - lethal outcome.@The prognostic system of operative outcomes in geriatric patients with supratentorial intracranial hemorrhages of hypertensive origin is unique, allowing selection of suitable surgical candidates in wh