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Risk factors for mortality after subarachnoid hemorrhage: a retrospective observational study / Fatores de risco para mortalidade após hemorragia subaracnoidea: estudo observacional retrospectivo
Papadimitriou-Olivgeris, Matthaios; Zotou, Anastasia; Koutsileou, Kyriaki; Aretha, Diamanto; Boulovana, Maria; Vrettos, Theofanis; Sklavou, Christina; Marangos, Markos; Fligou, Fotini.
  • Papadimitriou-Olivgeris, Matthaios; University of Patras. School of Medicine. Division of Infectious Diseases. Patras. GR
  • Zotou, Anastasia; University of Patras. School of Medicine. Department of Anaesthesiology and Intensive Care Medicine. Patras. GR
  • Koutsileou, Kyriaki; University of Patras. School of Medicine. Department of Anaesthesiology and Intensive Care Medicine. Patras. GR
  • Aretha, Diamanto; University of Patras. School of Medicine. Department of Anaesthesiology and Intensive Care Medicine. Patras. GR
  • Boulovana, Maria; University of Patras. School of Medicine. Department of Anaesthesiology and Intensive Care Medicine. Patras. GR
  • Vrettos, Theofanis; University of Patras. School of Medicine. Department of Anaesthesiology and Intensive Care Medicine. Patras. GR
  • Sklavou, Christina; University of Patras. School of Medicine. Department of Anaesthesiology and Intensive Care Medicine. Patras. GR
  • Marangos, Markos; University of Patras. School of Medicine. Division of Infectious Diseases. Patras. GR
  • Fligou, Fotini; University of Patras. School of Medicine. Department of Anaesthesiology and Intensive Care Medicine. Patras. GR
Rev. bras. anestesiol ; 69(5): 448-454, Sept.-Oct. 2019. tab, graf
Article in English | LILACS | ID: biblio-1057454
ABSTRACT
Abstract Background and

objectives:

Subarachnoid hemorrhage 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.

Methods:

This is a retrospective study of patients with subarachnoid hemorrhage admitted to the Intensive 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.

Results:

We included in the study 107 patients with subarachnoid hemorrhage. A ruptured aneurysm was the cause of subarachnoid hemorrhage 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.

Conclusions:

Transferred patients with subarachnoid hemorrhage had lower survival rates. Septic shock and hypernatraemia were important complications among critically ill patients with subarachnoid hemorrhage and were associated increased mortality.
RESUMO
Resumo Justificativa e

objetivos:

A hemorragia subaracnoidea é uma causa importante de morbidade e mortalidade. O objetivo do estudo foi determinar os preditivos de mortalidade entre os pacientes com hemorragia subaracnoidea internados em uma Unidade de Terapia Intensiva.

Métodos:

Estudo retrospectivo de pacientes com hemorragia subaracnoidea internados na Unidade de Terapia Intensiva de nossa instituição de 2009 a 2015. Os dados foram coletados do banco de dados eletrônico da Unidade de Terapia Intensiva e de revisões dos prontuários dos pacientes.

Resultados:

Incluímos no estudo 107 pacientes com hemorragia subaracnoidea. A ruptura de aneurisma foi a causa da hemorragia subaracnoidea em 76 pacientes (71%). A mortalidade geral foi de 40% (43 pacientes) e esteve significativamente associada ao choque séptico, desvio da linha média na tomografia computadorizada, transferência inter-hospitalar, pneumonia por aspiração e hipernatremia durante as primeiras 72 horas de internação na Unidade de Terapia Intensiva. A análise multivariada dos pacientes com hemorragia subaracnoidea pós-ruptura de aneurisma revelou que a mortalidade esteve significativamente associada ao choque séptico e hipernatremia nas primeiras 72 horas de permanência na Unidade de Terapia Intensiva, enquanto o tratamento precoce do aneurisma (clipagem ou embolização endovascular) nas primeiras 72 horas foi identificado como preditivo de um bom prognóstico.

Conclusões:

Os pacientes com hemorragia subaracnoidea transferidos apresentaram taxas menores de sobrevivência. Choque séptico e hipernatremia foram complicações importantes entre os pacientes gravemente enfermos com hemorragia subaracnoidea e foram associados ao aumento da mortalidade.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Subarachnoid Hemorrhage Type of study: Etiology study / Observational study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Language: English Journal: Rev. bras. anestesiol Journal subject: Anesthesiology Year: 2019 Type: Article Affiliation country: Greece Institution/Affiliation country: University of Patras/GR

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Full text: Available Index: LILACS (Americas) Main subject: Subarachnoid Hemorrhage Type of study: Etiology study / Observational study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Language: English Journal: Rev. bras. anestesiol Journal subject: Anesthesiology Year: 2019 Type: Article Affiliation country: Greece Institution/Affiliation country: University of Patras/GR