Turan KANDEMİR, Serdar ERCAN, Kemal ERTİLAV, Zeki Serdar ATAİZİ

İNTRAPARENKİMAL KANAMALI HASTALARDA ASA SKORUNUN MORTALİTE ORANINA ETKİSİ

Amaç İntraparenkimal hematom nedeniyle opere ettiğimiz hastaların hematom hacimleri ve preoperatif ASA skorlarının mortaliteye etkisini değerlendirmeyi amaçladık. Gereç ve Yöntem Çalışmamız hastanemiz Beyin ve Sinir Cerrahisi kliniğinde Şubat 2015 - Şubat 2020 tarihleri arasında intraparenkimal hematom nedeniyle opere edilen 34 hastanın dosyaları geriye dönük olarak taranması ile yürütüldü. Hastaların preoperatif glaskow koma skoru, hematom hacmi, antiagregan kullanımı, hipertansiyon varlığı, kanamanın lokalizasyonu ve ventriküle açılıp açılmadığı ve ASA skorları değerlendirilmek için toplandı. Bulgular Çalışmaya dahil edilen 34 hastanın 20’i erkek 14’ü kadın hastaydı. Hastaların geliş anındaki ortalama hematom hacimleri 120cm3 ( min:41 – max: 278 cm3)’dü. Hastaların takiplerinde 28 tanesi ex olmuş olup mortalite oranımız %82’dir. Hematom hacimleri ile mortalite arasında anlamlı bir ilişki saptanmıştır (P<0.05). Hastaların 11’i ASA 2, 4’ ü ASA 3, 17’si ASA 4 ve 2 hasta ASA 5 olarak değerlendirilmiştir. Hastaların ASA skoru ile mortalitesi değerlendirildiğinde anlamlı bir ilişki saptanmamıştır( P>0.05). Sonuç Glaskow koma skoru ve ASA skoru mortaliteyi belirleyen önemli faktörlerdir. Glaskow koma skoru ve ASA skoru birlikte değerlendirilmelidir. Glaskow koma skoru düşük bile olsa komorbid hastalıkları olmayan hastalarda mortalite azalmaktadır.

Anahtar Kelimeler:

İntraparenkimal hematom, Hematom hacmi, Glaskow koma skoru, ASA, Mortalite

THE EFFECT OF ASA SCORE ON MORTALITY RATE IN PATIENTS WITH INTRAPARENCHYMAL HEMORRHAGE

Objective We aimed to evaluate the effect of hematoma volumes and preoperative ASA scores on mortality of the patients we operated on due to intraparenchymal hematoma. Materials and Methods This study was conducted by retrospectively scanning the files of 34 patients operated on for intraparenchymal hematoma in our hospital’s neurosurgery clinic between February 2015 and February 2020. The preoperative glasgow coma score, hematoma volume, antiaggregant use, presence of hypertension, localization of bleeding and whether it was opened to the ventricle and ASA scores of the patients were collected to evaluate. Results Of the 34 patients included in the study, 20 were male, and 14 were female. Preoperative mean hematoma volumes of the patients were 120 cm3 (min: 41 – max: 278 cm3). In the follow-up of the patients, 28 of them were dead, and our mortality rate was 82%. A significant correlation was found between hematoma volumes and mortality (P<0.05). 11 of the patients were evaluated as ASA 2, 4 as ASA 3, 17 as ASA 4, and 2 patients as ASA 5. No significant correlation was found between the patients' ASA score and mortality (P>0.05). Conclusion Glasgow coma score and ASA score are important factors determining mortality. The glasgow coma score and ASA score should be evaluated together. Even if the glasgow coma score score is low, mortality decreases in patients without comorbid diseases.

Keywords:

Intraparenchymal Hemorrhage, Hematoma volume, Glasgow coma score, ASA, Mortality,

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