Glasgow Coma Scale (GCS) predicts mortality rate in intracerebral hemorrhage patient

Abstract

Intracerebral hemorrhage patients can be treated by multimodality approach. The prognosis depends on the severity of the bleeding. and the health status of patients. For the benefit of predicting treatment outcomes, the researcher therefore used the Glasgow Comas Scale to predict the treatment outcome of patients with hemorrhagic stroke. A retrospective study of treatment outcomes of patients with cerebral hemorrhage compared groups with different Glasgow coma scales in Phaholpolphayuhasena Hospital. Retrospective data between the years 2021-2023 was used.

The results showed that most of the patients had an average age of 59.8 years (SD = 13.8 years), 64 males, 62.1%, females. 39 cases (37.9%) have underlying diseases; hypertension 10 cases (9.7%), diabetes 6 cases (5.8%). Most of the patients had no history of vascular disease. On discharge from the hospital, it was found that 5 cases (4.9%) had nearly normal. 48 cases (46.6%) were unable to perform daily activities, bedridden in 25 cases (24.4%) and 21 (20.4%) were found to be fatal. The Glasgow Comas Scale among 3 groups of patients was statistically different, p < 0.01. The group having high Glasgow Comas Scale have better prognosis than less score.

Glasgow Comas Scale at admission is important for predicting treatment outcome in patients with hemorrhagic stroke. It was found that if the Glasgow Comas Scale was higher than 12, treatment results found that patient could perform daily activities or even nearly normal after treatment. While less Glasgow Comas Scale have poor prognosis.