Fatores de risco para mortalidade após hemorragia subaracnoidea: estudo observacional retrospectivo [Risk factors for mortality after subarachnoid hemorrhage: a retrospective observational study]
Details
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State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_376563CF9C43
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Fatores de risco para mortalidade após hemorragia subaracnoidea: estudo observacional retrospectivo [Risk factors for mortality after subarachnoid hemorrhage: a retrospective observational study]
Journal
Revista brasileira de anestesiologia
ISSN
1806-907X (Electronic)
ISSN-L
0034-7094
Publication state
Published
Issued date
2019
Peer-reviewed
Oui
Volume
69
Number
5
Pages
448-454
Language
portuguese
Notes
Publication types: Journal Article ; Observational Study
Publication Status: ppublish
Publication Status: ppublish
Abstract
Subarachnoid haemorrhage is an important cause of morbidity and mortality. The aim of the study was to determine predictors of mortality among patients with subarachnoid hemorrhage hospitalized in an Intensive Care Unit.
This is a retrospective study of patients with subarachnoid hemorrhage admitted to the Intensive Care Unit of our institution during a 7 year period (2009-2015). Data were collected from the Intensive Care Unit computerized database and the patients' chart reviews.
We included in the study 107 patients with subarachnoid haemorrhage. A ruptured aneurysm was the cause of subarachnoid haemorrhage in 76 (71%) patients. The overall mortality was 40% (43 patients), and was significantly associated with septic shock, midline shift on CT scan, inter-hospital transfer, aspiration pneumonia and hypernatraemia during the first 72 hours of Intensive Care Unit stay. Multivariate analysis of patients with subarachnoid hemorrhage following an aneurysm rupture revealed that mortality was significantly associated with septic shock and hypernatremia during the first 72 hours of Intensive Care Unit stay, while early treatment of aneurysm (clipping or endovascular coiling) within the first 72 hours was identified as a predictor of a good prognosis.
Transferred patients with subarachnoid haemorrhage had lower survival rates. Septic shock and hypernatraemia were important complications among critically ill patients with subarachnoid haemorrhage and were associated increased mortality.
This is a retrospective study of patients with subarachnoid hemorrhage admitted to the Intensive Care Unit of our institution during a 7 year period (2009-2015). Data were collected from the Intensive Care Unit computerized database and the patients' chart reviews.
We included in the study 107 patients with subarachnoid haemorrhage. A ruptured aneurysm was the cause of subarachnoid haemorrhage in 76 (71%) patients. The overall mortality was 40% (43 patients), and was significantly associated with septic shock, midline shift on CT scan, inter-hospital transfer, aspiration pneumonia and hypernatraemia during the first 72 hours of Intensive Care Unit stay. Multivariate analysis of patients with subarachnoid hemorrhage following an aneurysm rupture revealed that mortality was significantly associated with septic shock and hypernatremia during the first 72 hours of Intensive Care Unit stay, while early treatment of aneurysm (clipping or endovascular coiling) within the first 72 hours was identified as a predictor of a good prognosis.
Transferred patients with subarachnoid haemorrhage had lower survival rates. Septic shock and hypernatraemia were important complications among critically ill patients with subarachnoid haemorrhage and were associated increased mortality.
Keywords
Aged, Female, Humans, Intensive Care Units, Male, Middle Aged, Prognosis, Retrospective Studies, Risk Factors, Subarachnoid Hemorrhage/mortality, Bactérias produtoras de carbapenemases, Carbapenemase‐producing bacteria, Choque séptico, Hipernatremia, Hypernatraemia, Intensive Care Unit, Inter‐hospital transfer, Septic shock, Transferência inter‐hospitalar, Unidade de Tratamento Intensivo
Pubmed
Web of science
Open Access
Yes
Create date
02/11/2019 23:48
Last modification date
25/01/2024 8:34