HOME >> MEDICINE >> NEWS
Early surgical treatment not always necessary for patients with brain haemorrhage

Results of a randomised trial published in today's issue of THE LANCET suggest that early surgery is no better than medical treatment for patients with brain haemorrhage.

Spontaneous brain haemorrhage affects 20 in 100,000 people every year and studies have suggested the death rate is around 40%. It causes 20% of stroke cases and most survivors are left disabled. There are two treatment options, surgery or medical treatment.

In the International Surgical Trial in Intracerebral Haemorrhage (STICH) David Mendelow (University of Newcastle Upon Tyne, UK) and colleagues assessed whether the early surgery could reduce deaths and disability from brain haemorrhage when compared with initial conservative treatment.

Over 1000 patients with brain haemorrhage, with an average age of 62 years, were recruited from 83 centres in 27 different countries from January 1998 to February 2003. 503 patients were randomised to receive early surgery and 530 to initial conservative treatment. Patients randomised to conservative treatment were given the best available medical treatment. In the conservative treatment arm, 140 patients had neurological deterioration and underwent surgery.

The investigators found that 26% of patients who received early surgery had a favourable outcome at 6 months compared with 24% allocated to initial conservative treatment. The mortality rate for the early surgery group was 36% compared with 37% for initial conservative treatment. Survival during the first six months did not differ between the two groups.

The authors conclude that early surgery is no better than initial conservative treatment for patients with brain haemorrhage. Only patients with blood clots of 1cm or less from the brain surface had a better outcome from early surgery.

Professor Mendelow comments: "There is insufficient evidence to justify a general policy of early operative interventions in patients with spontaneous brain haemorrhage, compar
'"/>

Contact: Joe Santangelo
j.santangelo@elsevier.com
1-212-633-3810
Lancet
27-Jan-2005


Page: 1 2

Related medicine news :

1. Early onset of puberty the EU gets serious
2. Early HIV screening prolongs life and is affordable, Stanford study shows
3. Early supported discharge services can reduce long term dependency for stroke patients
4. Early seizures after epilepsy surgery predict more seizures
5. Early learning leaves lasting changes in brain, Stanford owl study shows
6. Early detection reduces threat of foot injury in college basketball players
7. Early results shed light on lung cancer screening advance
8. Early disclosure: Post-operative radiotherapy improves progression-free survival in prostate cancer
9. Early reports of thrombosis after insertion of drug-eluting stents
10. Early behavior problems linked with wheezing later in childhood
11. Early childhood ear infections linked to asthma

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:10/20/2018)... ... , ... The Society for Immunotherapy of Cancer (SITC) has ... Feb. 18-22, 2019. , The SITC Cancer Immunotherapy Winter School will ... understanding of the core principles and clinical applications of tumor immunology and cancer ...
(Date:10/20/2018)... (PRWEB) , ... October 20, 2018 , ... CBD Hacker, ... oils for 2018. The list is the result of a comparative analysis of the ... have to sort through a ton of different information to choose the right product,” ...
(Date:10/18/2018)... , ... October 18, 2018 , ... Today Jon Elwell, ... everyone in healthcare, told attendees of the National Association of Long Term Hospitals ... book series, you always began with the understanding that Waldo was in the picture ...
(Date:10/18/2018)... YORK (PRWEB) , ... October ... ... announces the publication of a research study demonstrating the company’s automated preclinical ... plug-in for optical imaging systems. The technology finds applications in preclinical imaging ...
(Date:10/17/2018)... ... October 17, 2018 , ... A new report ... identifies best practices in the management of lesbian, bisexual, gay, transgender, questioning, and ... are overrepresented in the juvenile justice system, especially lesbian and bisexual girls and ...
Breaking Medicine News(10 mins):
(Date:10/16/2018)... Canada (PRWEB) , ... October 16, 2018 , ... ... innovative companies involved in the development and marketing of algae-based omega-3 products, Ben ... the 2018 Algae Biomass Summit in Houston, Texas on October 15. The title ...
(Date:10/16/2018)... ... October 16, 2018 , ... With suicide as the tenth ... (1), the American Psychiatric Nurses Association (APNA) has released a new training to equip ... Though deaths by suicide in hospital settings are preventable, a recent survey of 15,000 ...
(Date:10/16/2018)... ... October 16, 2018 , ... The ... international multidisciplinary group of healthcare treatment providers who treat the full spectrum of ... in a live, two-day, 12-hour track at Symposium 2019. The courses are ...
Breaking Medicine Technology:
Cached News: