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2014, Number 3

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Rev cubana med 2014; 53 (3)

Care of patients with

Miranda HJL, Pérez NJ, Scherle-Matamoros C, González GJ, de Jongh CE, Hierro GD

Language: Spanish
References: 30
Page: 239-253
PDF size: 295.74 Kb.


ABSTRACT

Objective: estimate the impact of care to patients with "good grades"of aneurysmal subarachnoid hemorrhage (ASH-A).
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.
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.
Conclusions: stroke Unit specialized care seems to be appropriate for patients with "good grades" of ASH-A.


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