Articles Vol. 67 No. CĐ6-NCKH 16/06/2026

TO EVALUATION OF TREATMENT OUTCOMES OF SEVERE STROKE PATIENTS TREATED WITH TARGETED TEMPERATURE MANAGEMENT

Nguyen Huu Viet Anh1,2, Nguyen Duc Phuc1,2, Tran Phuong1,2, Tran Van Thanh1,2, Luu Van Hau1,2, Dang Ngoc Anh3,4
1 Intensive Care Unit – Nghe An Friendship General Hospital
2 Khoa Hồi sức tích cực – Bệnh viện Hữu nghị Đa khoa Nghệ An
3 Emergency Department – Nghe An Friendship General Hospital
4 Khoa Cấp cứu – Bệnh viện Hữu nghị Đa khoa Nghệ An
DOI: 10.52163/yhc.v67iCD6.5311
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Keywords
Targeted temperature management; Stroke; Cerebral Performance Category
Abstract

Objective: To evaluate the treatment outcomes of severe stroke patients treated with targeted temperature management.

Subjects and methods: Prospective and retrospective descriptive study on 12 severe stroke patients at the Intensive Care Unit - Nghe An Friendship General Hospital from January 2023 to June 2025.

Results: The mean age was 50.16 ± 11.92 years. Intracerebral hemorrhage with intraventricular extension accounted for 75.0% of cases. Combined decompressive hematoma evacuation and ventricular drainage was performed in 66.7% of patients. Mean Glasgow score tended to improve from 6.6 at initiation of temperature control to 8.1 after rewarming and 24-hour temperature maintenance. All patients survived to hospital discharge; 8/12 patients (66.7%) were alive at 30 days, and 5/12 patients (41.7%) were alive at 6 months. All survivors at 6 months had CPC scores from 1 to 3.

Conclusion: The targeted temperature management technique using surface cooling device initially shows effectiveness in treating severe stroke patients.

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