标题：MIS Score: Prediction Model for Minimally Invasive Surgery
作者：Hu, Yuanyuan; Cao, Jingwei; Hou, Xianzeng; Liu, Guangcun
作者机构：[Hu, Yuanyuan; Hou, Xianzeng; Liu, Guangcun] Shandong Univ, Qianfoshan Hosp, Dept Neurosurg, Jinan, Shandong, Peoples R China.; [Cao, Jingwei] Shand 更多
通讯作者地址：[Liu, GC]Shandong Univ, Qianfoshan Hosp, Dept Neurosurg, Jinan, Shandong, Peoples R China.
关键词：Cerebral hemorrhage; Minimal invasive surgery; Prognostic factors; Scale
摘要：BACKGROUND: Reports suggest that patients with spontaneous intracerebral hemorrhage (ICH) can benefit from minimally invasive surgery, but the inclusion criterion for operation is controversial. This article analyzes factors affecting the 30-day prognoses of patients who have received minimally invasive surgery and proposes a simple grading scale that represents clinical operation effectiveness.; METHODS: The records of 101 patients with spontaneous ICH presenting to Qianfoshan Hospital were reviewed. Factors affecting their 30-day prognosis were identified by logistic regression. A clinical grading scale, the MIS score, was developed by weighting the independent predictors based on these factors.; RESULTS: Univariate analysis revealed that the factors that affect 30-day prognosis include Glasgow coma scale score (P < 0.01), age >= 80 years (P < 0.05), blood glucose (P < 0.01), ICH volume (P < 0.01), operation time (P < 0.05), and presence of intraventricular hemorrhage (P < 0.001). Logistic regression revealed that the factors that affect 30-day prognosis include Glasgow coma scale score (P < 0.05), age (P < 0.05), ICH volume (P < 0.01), and presence of intraventricular hemorrhage (P < 0.05). The MIS score was developed accordingly; 39 patients with 0-1 MIS scores had favorable prognoses, whereas only 9 patients with 2-5 MIS scores had poor prognoses.; CONCLUSIONS: The MIS score is a simple grading scale that can be used to select patients who are suited for minimal invasive drainage surgery. When MIS score is 0-1, minimal invasive surgery is strongly recommended for patients with spontaneous cerebral hemorrhage. The scale merits further prospective studies to fully determine its efficacy.