{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T03:56:35Z","timestamp":1778644595832,"version":"3.51.4"},"reference-count":36,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T00:00:00Z","timestamp":1608681600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brain Sciences"],"abstract":"<jats:p>Background: Spontaneous intracerebral hemorrhage (ICH) is a severe form of stroke. The efficacy of surgery as ICH treatment is controversial. We sought to compare the 30-day postoperative mortality rate between patients with surgically and medically treated ICH; Methods: This prospective study enrolled patients consecutively diagnosed with ICH and treated between 2017 and 2019. Patients meeting the study surgical indications were assigned to either surgical or medical treatment. The relationship between Glasgow Coma Scale (GCS) score, age, ICH location, ICH volume, and 30-day mortality was analyzed. Results: A total of 174 ICH patients were enrolled in this study. Of these, 136 met the surgery criteria; 65 of these underwent surgery (Group A), and 71 received medical treatment (Group B). Age and ICH location did not modify mortality. Although surgery did not overall improve mortality some better postsurgical outcomes were observed among patients surgically treated with GCS scores of at least 10 points and ICH volumes between 30 to 50 mL; Conclusions: Despite achieving an immediate reduction in intracranial pressure, surgery seems to be advantageous only for patients with ICH volumes between 30 to 50 mL and GCS scores of 10 points or higher;<\/jats:p>","DOI":"10.3390\/brainsci11010005","type":"journal-article","created":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T08:38:43Z","timestamp":1608712723000},"page":"5","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effects of Surgery on the 30-Day Survival Rate in Spontaneous Supratentorial Intracerebral Hemorrhage"],"prefix":"10.3390","volume":"11","author":[{"given":"Adrian","family":"Balasa","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, George Emil Palade University of Medicine, Pharmacy, Science and Technology, 540142 T\u00eergu Mure\u0219, Romania"},{"name":"Department of Neurosurgery, T\u00eergu Mure\u0219 Clinical Emergency County Hospital, 540136 T\u00eergu Mure\u0219, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana","family":"Ghiga","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics and Biostatistics, George Emil Palade University of Medicine, Pharmacy, Sciences and Technology, 540142 T\u00eergu Mure\u0219, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Razvan-Sebastian","family":"Andone","sequence":"additional","affiliation":[{"name":"Department of Neurology, T\u00eergu Mure\u0219 Clinical Emergency County Hospital, 540136 T\u00eergu Mure\u0219, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ancuta","family":"Zahan","sequence":"additional","affiliation":[{"name":"Department of Histology, George Emil Palade University of Medicine, Pharmacy, Science and Technology, 540142 T\u00eergu Mure\u0219, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7730-338X","authenticated-orcid":false,"given":"Ioan","family":"Florian","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Iuliu Ha\u0163ieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania"},{"name":"Department of Neurosurgery, Cluj-Napoca Clinical Emergency County Hospital, 400006 Cluj-Napoca, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6368-0555","authenticated-orcid":false,"given":"Rares","family":"Chinezu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, George Emil Palade University of Medicine, Pharmacy, Science and Technology, 540142 T\u00eergu Mure\u0219, Romania"},{"name":"Department of Neurosurgery, T\u00eergu Mure\u0219 Clinical Emergency County Hospital, 540136 T\u00eergu Mure\u0219, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,12,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1161\/01.STR.0000206441.79646.49","article-title":"Predicting mortality in spontaneous intracerebral hemorrhage: Can modification to original score improve the prediction?","volume":"37","author":"Godoy","year":"2006","journal-title":"Stroke"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"28","DOI":"10.5853\/jos.2016.01935","article-title":"Spontaneous Intracerebral Hemorrhage: Management","volume":"19","author":"Kim","year":"2017","journal-title":"J. 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