Atención a pacientes con "grados buenos" de hemorragia subaracnoidea aneurismática en la unidad de ictus

José Luis Miranda Hernández, Jesús Pérez Nellar, Claudio Scherle-Matamoros, Justo González González, Enrique De Jongh Cobo, Daniel Hierro García

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

Resumen

Methods: a prospective descriptive study was conducted of a cohort of patients with"good grades" of ASH-A admitted to the Stroke Unit at Hermanos Ameijeiras Hospital in Havana from October 2005 to December 2009. Data was processed with the statistical software SPSS version 15.0.

Objective: Estimate the impact of care to patients with "good grades"of aneurysmal subarachnoid hemorrhage (ASH-A).

Conclusions: stroke Unit specialized care seems to be appropriate for patients with "good grades" of ASH-A.

Results: 165 patients were studied. Mean age was 49.7 and female sex predominated (66.7%). The cerebral aneurysm could be isolated in 141 cases: 131 by surgery and 10 by endovascular procedure. In 21 cases treatment was performed before the third day of evolution. The main complications observed were rebleeding (18.8%), symptomatic vasospasm (15.2%), hydrocephaly (23%), hyponatremia (11.5%) and pneumonia (10.3%). Average hospital stay was 17.1 days. 20 patients were discharged with disabling sequelae; 27 died. The variables associated with a bad outcome at discharge were intensity of clinical manifestations at admission, magnitude of bleeding on CT brain scans, rebleeding, symptomatic vasospasm and pneumonia.

Título traducido de la contribuciónCare of patients with "good grades" of aneurysmal subarachnoid hemorrhage in the stroke unit
Idioma originalEspañol
Páginas (desde-hasta)239-253
Número de páginas15
PublicaciónRevista Cubana de Medicina
Volumen53
N.º3
EstadoPublicada - 1 jul. 2014
Publicado de forma externa

Palabras clave

  • Cerebral aneurysms
  • Cerebral hemorrhage
  • Stroke
  • Stroke unit
  • Subarachnoid hemorrhage

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