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71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

21.06. - 24.06.2020

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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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  • presenting/speaker Alexander Hammer - Paracelsus Medizinische Privatuniversität, Neurochirurgische Universitätsklinik, Nürnberg, Deutschland
  • Matthias Hohenhaus - Paracelsus Medizinische Privatuniversität, Anästhesiologische Universitätsklinik, Nürnberg, Deutschland
  • Gholamreza Ranaie - Paracelsus Medizinische Privatuniversität, Neurochirurgische Universitätsklinik, Nürnberg, Deutschland
  • Frank Erbguth - Paracelsus Medizinische Privatuniversität, Neurologische Universitätsklinik, Nürnberg, Deutschland
  • Hans-Herbert Steiner - Paracelsus Medizinische Privatuniversität, Neurochirurgische Universitätsklinik, Nürnberg, Deutschland
  • Hendrik Janssen - Klinikum Ingolstadt, Institut für Neuroradiologie, Ingolstadt, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. sine loco [digital], 21.-24.06.2020. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocV234

doi: 10.3205/20dgnc229, urn:nbn:de:0183-20dgnc2291

Published: June 26, 2020

© 2020 Hammer et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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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.