A Study on Prediction of Outcome in Patients with Primary Intra Cranial Hemorrhage using FUNC Score

Rajmohan, M (2020) A Study on Prediction of Outcome in Patients with Primary Intra Cranial Hemorrhage using FUNC Score. Masters thesis, Stanley Medical College, Chennai.

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Abstract

BACKGROUND: Intra cerebral hemorrhage (ICH) the most disturbing and least treatable form of stroke, also in addition, it causes severe disability among survivors. Because ICH is considered to be fatal in majority of circumstances, withdrawal of care of such patients commonly occurs early, that cause a situation that can take away a “fighting chance” to those patients whose prognosis may not be as grave as initially judged. Accurate prediction regarding the outcome of the patients presenting with ICH is very important. AIM OF THE STUDY: The aim of this study is to determine the Prediction of Outcome in Patients with Primary Intra cranial hemorrhage using FUNC score in Stanley Government Medical College Hospital. MATERIALS AND METHODS: During the study period, patients admitted with Intra cranial haemorrhage were performed imaging study. CT scan of brain was taken immediately. Along with that additional imaging studies like Doppler study of carotid arteries, angiogram- CT angiogram, MRI brain with MRA and MRV – plain and contrast were taken. After obtaining all these parameters FUNC score is calculated for all the patients. RESULTS: In the analysis of FUNC scoring, among the expired patients 31 patients(56.4%) belonged to score <=4 ; 24 patients (43.6%) belonged to score 5-7; and all the patients presenting with FUNC score of >=8 were alive at the end of 90 days which shows high significance of FUNC scoring (p<0.001) in predicting the outcome. CONCLUSION: This study concludes that FUNC score can be used as a reliable tool in predicting the outcome of patients presenting with primary intracerebral hemorrhage. By using this scale withdrawal of care for patients with predicted good outcome can be prevented and can lead to a reduction in mortality and help them in early mobilisation.

Item Type: Thesis (Masters)
Additional Information: 201711065
Uncontrolled Keywords: Prediction of outcome, ICH, Intra cerebral haemorrhage, Intra cranial haemorrhage, FUNC score.
Subjects: MEDICAL > General Medicine
Depositing User: Subramani R
Date Deposited: 28 Jan 2021 13:20
Last Modified: 28 Jan 2021 13:20
URI: http://repository-tnmgrmu.ac.in/id/eprint/13235

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