Article
Impact of complications and comorbidities on the duration of intensive care after aneurysmal subarachnoid haemorrhage
Einfluss von Komplikationen und Komorbiditäten auf die Länge des Aufenthaltes auf der Intensivstation nach aneurysmaler SAB
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Published: | June 26, 2020 |
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Objective: In this study, we analysed a cohort of 164 cases of subarachnoid haemorrhage with the aim of detecting factors that influence the length of stay (LOS) in intensive care.
Methods: We analyzed the impact of complications and comorbidities on the length of stay (LOS) in intensive care with multiple linear regression methods. Moreover, binary logistic regression methods were used to examine whether the duration of intensive care is a predictor of outcome after 1 year. Patients who died during their stay in intensive care were excluded.
Results: Complications such as pneumonia (p = 0.0031), sepsis (p = 0.0031), hydrocephalus (p = 0.0014) and delayed cerebral ischemia (DCI)(p = 0.038) were critical factors affecting the LOS in intensive care as well as decompressive craniectomy (p = 0.0077). All analysed comorbidities such as hypertension, diabetes, hypothyroid, cholesterinemia, and smoking history had no significant impact on the LOS in intensive care. LOS in intensive care (OR = 1.09; p = 0.0023) as well as WFNS grade (OR = 3.72; p < 0.0001 ) and age (OR = 1.06; p = 0.0061) were significant factors that had an impact on the outcome after 1 year.
Conclusion: Complications duing intensive care but not comorbidities are critical predictors of LOS in intensive care in our cohort. LOS in intensive care is a significant predictor of outcomes after subarachnoid haemorrhage.