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Effects of Neuroendoscopy and Craniotomy on Postoperative Immune-Inflammation Trajectories and Prognosis in Spontaneous Intracerebral Hemorrhage: A Retrospective Cohort Study

Effects of Neuroendoscopy and Craniotomy on Postoperative Immune-Inflammation Trajectories and Prognosis in Spontaneous Intracerebral Hemorrhage: A Retrospective Cohort Study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2600129808
Enrollment
Unknown
Registered
2026-08-10
Start date
2026-08-10
Completion date
Unknown
Last updated
2026-08-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Spontaneous Intracerebral Hemorrhage

Interventions

Neuroendoscopy group:None

Sponsors

Huashan Hospital, Fudan University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Age = 18 years; 2. Computed tomography (CT)–confirmed supratentorial spontaneous intracerebral hemorrhage (sICH); 3. Underwent either neuroendoscopic hematoma evacuation or conventional craniotomy for hematoma removal; 4. Postoperative hospital stay of at least 7 days; 5. At least 4 recorded measurements of complete blood count and C-reactive protein (CRP) within postoperative days 1–7; 6. Completed 90-day follow-up with modified Rankin Scale (mRS) assessment.

Exclusion criteria

Exclusion criteria: 1. Secondary intracerebral hemorrhage attributable to cerebral vascular malformation, intracranial aneurysm, brain tumor, cerebral venous sinus thrombosis, moyamoya disease, traumatic brain injury, hemorrhagic transformation after ischemic stroke, or other identified secondary etiologies; 2. Concurrent end-stage malignancy, severe cardiopulmonary, hepatic, or renal failure, or other conditions that substantially affect survival prognosis; 3. Underwent external ventricular drainage or decompressive craniectomy alone, without concomitant evacuation of intraparenchymal hematoma; 4. Presence of active systemic infection (e.g., severe pneumonia, urinary tract infection) prior to admission, or major surgery within 2 weeks before symptom onset; 5. Coexisting severe autoimmune disease, hematologic disorder, or malignancy, or long-term use of immunosuppressants or corticosteroids; 6. Pre-existing severe neurological disability, defined as a pre-stroke modified Rankin Scale (mRS) score =3; 7. Critically missing baseline clinical or imaging data; 8. Documented nosocomial infection occurring within postoperative days 1–7, as per the U.S. CDC/NHSN surveillance definitions (2024 edition).

Design outcomes

Primary

MeasureTime frame
Modified Rankin Scale (mRS) score;

Secondary

MeasureTime frame
Postoperative systemic inflammatory trajectories;

Countries

China

Contacts

Public ContactWu Biwu

Huashan Hospital, Fudan University

wubiwu@fudan.edu.cn+86 21 54602481

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Sep 19, 2026