Poor prognosis factors in patients with spontaneous subarachnoid hemorrhage admitted in “Manuel Ascunce Domenéch” Universitary Hospital
Keywords:
Cerebral vasospasm, Intracraneal aneurysm, Prognosis, Subarachnoid hemorrhageAbstract
OBJECTIVE: To determine poor prognosis factors in patients with spontaneous subarachnoid hemorrhage admitted to the Hospital Manuel Ascunce Domenech during the period January 2014 to July 2015.
METHODS: A prospective observational study was conducted. The universe was composed of 35 patients diagnosed with subarachnoid hemorrhage delimited by the inclusion and exclusion criteria. The sample was consistent with the universe. For statistical analysis were used: number and percentage, univariate and multivariate strategies.
RESULTS: Female sex, ages between 44 and 56 years, patients with initial grade II clinical status (Hunt and Hess Scale) and grade II according to Fisher scale of tomographic predominate. Aneurysm was the most frequent cause. It was detected a prevalence of nosocomial bronchopneumonia, phlebitis, rebleeding and cerebral vasospasm. 18 patients have favorable outcome and 17 suffered unfavorable evolution.
CONCLUSIONS: Poor prognostic were factors clinical status at admission grade III–IV–V according to Hunt and Hess scale and rebleeding. Determinations of prognostic factors are limited due simple heterogeneity, regional variations in management, statistic bias, and different point of views about assessment and prognosis scales.
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