Abstract
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.