Original Article

The impact of different surgical treatments for intracerebral hemorrhage on functional outcomes during the convalescent stage

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

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