Artikel
Risk factors for intensive care unit mortality in patients after severe subarachnoid hemorrhage: about 202 cases
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Autoren
Veröffentlicht: | 4. Mai 2005 |
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Gliederung
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Objective
Patients admitted in intensive care unit (ICU) for hemorrhagic strokes have a high rate of mortality. The objective of our study was to determine the independent risk factors for mortality associated with this disease.
Methods
Cohort study over a three-year period. All data from patients admitted for subarachnoid hemorrhage in ICU were retrospectively assessed. The risk factors for mortality were determined with a multivariate analysis using a logistic regression. The threshold of significance was determined at 0.05.
Results
202 patients (male 59%, age 59±13 yrs) were included. The univariate analysis showed that the predictive factors for survival were the presence of an aneurysm (62 patients), and the use of a exclusion treatment. In contrast, the combination of a subarachnoid hemorrhage with an intracerebral bleeding (121 patients) was associated with mortality. The multivariate analysis highlighted that the presence of a low Glasgow coma scale score on admission was an independent risk factor for mortality.
Conclusions
The value of Glasgow coma scale score represents the only independent risk factor for mortality in patients after subarachnoid hemorrhage.