Neurocritical care complications and interventions influence the outcome in aneurysmal subarachnoid hemorrhage
| العنوان: | Neurocritical care complications and interventions influence the outcome in aneurysmal subarachnoid hemorrhage |
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| المؤلفون: | Monika Killer-Oberpfalzer, Hendrik Janssen, Matthias Hohenhaus, Alexander Hammer, Markus Gesslein, Hannes Lücking, Hans Herbert Steiner, Frank Erbguth, Christian M. Hammer |
| المصدر: | BMC Neurology BMC Neurology, Vol 21, Iss 1, Pp 1-9 (2021) |
| بيانات النشر: | BioMed Central, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Subarachnoid hemorrhage, Critical Care, medicine.medical_treatment, Decompressive craniectomy, Logistic regression, lcsh:RC346-429, Modified Rankin Scale, Internal medicine, Sepsis, medicine, Neurocritical care, Humans, ddc:610, lcsh:Neurology. Diseases of the nervous system, Aged, Outcome, business.industry, Neurointensive care, Vascular disorders, General Medicine, Odds ratio, Middle Aged, medicine.disease, Decompression, Surgical, Intracranial aneurysm, Hydrocephalus, Treatment Outcome, Female, Neurology (clinical), Neurosurgery, business, Craniotomy, Research Article |
| الوصف: | Background This observational study was performed to show the impact of complications and interventions during neurocritical care on the outcome after aneurysmal subarachnoid hemorrhage (SAH). Methods We analyzed 203 cases treated for ruptured intracranial aneurysms, which were classified regarding clinical outcome after one year according to the modified Rankin Scale (mRS). We reviewed the data with reference to the occurrence of typical complications and interventions in neurocritical care units. Results Decompressive craniectomy (odds ratio 21.77 / 6.17 ; p < 0.0001 / p = 0.013), sepsis (odds ratio 14.67 / 6.08 ; p = 0.037 / 0.033) and hydrocephalus (odds ratio 3.71 / 6.46 ; p = 0.010 / 0.00095) were significant predictors for poor outcome and death after one year beside “World Federation of Neurosurgical Societies” (WFNS) grade (odds ratio 3.86 / 4.67 ; p < 0.0001 / p < 0.0001) and age (odds ratio 1.06 / 1.10 ; p = 0.0030 / p < 0.0001) in our multivariate analysis (binary logistic regression model). Conclusions In summary, decompressive craniectomy, sepsis and hydrocephalus significantly influence the outcome and occurrence of death after aneurysmal SAH. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1471-2377 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bbaf9e18c3c0883c3f48dff8ae146e36Test http://europepmc.org/articles/PMC7814559Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....bbaf9e18c3c0883c3f48dff8ae146e36 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712377 |
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