Một số yếu tố liên quan đến kết quả điều trị bệnh nhân chảy máu não cấp vùng trên lều do tăng huyết áp tại Bệnh viện Trung ương Thái Nguyên

Objectives: To analyze factors associated with treatment outcomes in patients with acute hypertensive supratentorial intracerebral hemorrhage at Thai Nguyen National Hospital. Subjects and Methods: A cross-sectional descriptive study, including 60 patients diagnosed with acute hypertensive supratentorial intracerebral hemorrhage, admitted to Thai Nguyen National Hospital from January 1, 2025, to July 31, 2025.Results: The mean age of the patients was 63.5 ± 12.9 years; the proportion of male patients was 65%. Regarding medical history, 78.3% had hypertension, 10.0% had diabetes mellitus. The mean NIHSS score at admission was 13.3 ± 5.5, Glasgow Coma Scale (GCS) score was 11.2 ± 2.8. The rate of patients with good outcomes at day 30 was 36.7%. No significant differences in treatment outcomes at day 30 were observed between patients with and without a history of hypertension, diabetes, stroke, anticoagulant use, smoking, or alcohol consumption. Poor outcomes at admission were significantly associated with an NIHSS score (95.8%), intraventricular hemorrhage (80%), and hematoma volume ≥30 ml (88.9%). Conclusions: Factors associated with 30-day treatment outcomes in patients with hypertensive supratentorial intracerebral hemorrhage include high NIHSS score at admission, large hematoma volume, and the presence of intraventricular hemorrhage.