Michiharu Ikejiri, RPT, Narumi Yamamoto, RPT, Nao Ihara, RPT, Michihito Mitsuyasu, RPT, Atsuko Shirataki, RPT, Nobuyuki Irie, MD, PhD
Jpn J Compr Rehabil Sci 12: 9-14, 2021
Objective: We examined whether different surgical
methods for intracerebral hemorrhage have an impact
on functional outcomes at discharge from the
Kaifukuki Rehabilitation Ward (KRW).
Methods: The participants included 100 patients with
first-onset hypertensive ICH. Craniotomy was performed
in 52 patients, endoscopic hematoma evacuation in 31
patients, and functional independence measure (FIM),
length of hospitalization, and rate of discharge to the home
of the two groups were examined retrospectively.
Results: The time between surgery and admission to
the KRW was significantly shorter in the endoscopic
hematoma evacuation group than in the craniotomy
group. Although there was no significant difference in
the functional prognosis at discharge, endoscopic
hematoma evacuation may contribute to higher FIM
gain, shorter length of hospitalization, and a higher
rate of discharge to home because of the ability to
transfer to KRW earlier than in the case of craniotomy,
owing to less surgical invasion.
Conclusion: Endoscopic hematoma evacuation had a
shorter time to admission to KRW than craniotomy;
however, differences in surgical methods did not result
in a difference in functional outcomes.
Key words: Kaifukuki Rehabilitation Ward, functional prognosis, craniotomy, endoscopic hematoma evacuation