gms | German Medical Science

56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

Article

Send article

Risk factors for intensive care unit mortality in patients after severe subarachnoid hemorrhage: about 202 cases

Meeting Abstract

Search Medline for

  • corresponding author M. Leone - Département de Réanimation, Chu NORD, Marseille
  • J. R. Alliez - Service de Neurochirurgie, Chu NORD, Marseille
  • J. Albanese - Département de Réanimation, Chu NORD, Marseille
  • B. Alliez - Service de Neurochirurgie, Chu NORD, Marseille

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. DocP084

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2005/05dgnc0352.shtml

Published: May 4, 2005

© 2005 Leone et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

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.