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2016, Number 1

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Rev Cubana Neurol Neurocir 2016; 6 (1)

Poor prognosis factors in patients with spontaneous subarachnoid hemorrhage admitted in “Manuel Ascunce Domenéch” Universitary Hospital

Betancourt NR

Language: Spanish
References: 30
Page: 1-8
PDF size: 529.26 Kb.


ABSTRACT

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. Determination of prognostic factor are limited due simple heterogeneity, regional variations in management, statistic bias, and different point of views about assessment and prognosis scales.


REFERENCES

  1. Sacco RL, Kasner SE, Broderick JP, Caplan LR, Connors JJ, Culebras A, et al. An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke [Internet]. 2013 Jul [citado 5.6.2016]; 44(7):[aprox. 27 p.]. Disponible en: http://stroke.ahajournals.org/content/44/7/2064.long

  2. Ezpeleta D. Cefaleas catastróficas. Neurología. 2010;25(Supl 1):46–51.

  3. Bederson JB, Sander CE, Hunt BH, Dacey RG, Dion JE, Diringer MN, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke [Internet]. 2009 Mar [citado 5.6.2016]; 40(3):[aprox. 32 p.]. Disponible en: http://stroke.ahajournals.org/content/40/3/994.full

  4. Rodríguez García PL, Rodríguez García D. Hemorragia subaracnoidea: epidemiología, etiología, fisiopatología y diagnóstico. Rev Cubana Neurol Neurocir [Internet]. 2011 [citado 5.6.2016]; 1(1):[aprox. 15 p.]. Disponible en: http://www.revneuro.sld.cu/index.php/neu/article/view/11

  5. Van Gijn J, Kerr RS, Rinkel GJ. Subarachnoid haemorrhage. Lancet. 2007 Ene 27;369(9558):306–18.

  6. Al–Shahi R, White PM, Davenport RJ, Lindsay KW. Subarachnoid haemorrhage. BMJ. 2006; 333:235–40.

  7. Labovitz DL, Halim AX, Brent B, Boden–Albala B, Hauser WA, Sacco RL. Subarachnoid hemorrhage incidence among Whites, Blacks and Caribbean Hispanics: the Northern Manhattan Study. Neuroepidemiology. 2006;26(3):147–50.

  8. Rinkel GJ, Algra A. Long–term outcomes of patients with aneurysmal subarachnoid haemorrhage. Lancet Neurol. 2011 Abr; 10(4):349—56.

  9. Huang AP, Arora S, Wintermark M, Ko N, Tu YK, Lawton MT. Perfusion computed tomographic imaging and surgical selection with patients after poor–grade aneurysmal subarachnoid hemorrhage. Neurosurgery. 2010;67(4):964–74.

  10. Haug T, Sorteberg A, Finset A, Lindegaard KF, Lundar T, Sorteberg W. Cognitive functioning and health–related quality of life 1 year after aneurysmal subarachnoid hemorrhage in preoperative comatose patients (Hunt and Hess Grade V patients). Neurosurgery. 2010;66(3):475–84.

  11. Shirao S, Yoneda H, Kunitsugu I, Ishihara H, Koizumi H, Suehiro E, et al. Preoperative prediction of outcome in 283 poor–grade patients with subarachnoid hemorrhage: a project of the Chugoku–Shikoku Division of the Japan Neurosurgical Society. Cerebrovasc. Dis. 2010;30(2):105–13.

  12. González Aguirre Y, Varela Hernández A, Casares Albernas F, Herrera Lorenzo O, Infante Ferrer J, Morgado Castañeda R. Comportamiento de la hemorragia subaracnoidea espontánea en el Hospital Universitario “Manuel Ascunce Domenéch”. Rev Cubana Neurol Neurocir [Internet]. 2012 [citado 5.6.2016]; 2(1):[aprox. 6 p.]. Disponible en: http://www.revneuro.sld.cu/index.php/neu/article/view/32

  13. De Rooij NK, Linn FH, van der Plas JA, Algra A, Rinkel GJ. Incidence of subarachnoid haemorrhage: a systematic review with emphasis on region, age, gender and time trends. J Neurol Neurosurg Psychiatry. 2007; 78:1365–72.

  14. Rivero Rodríguez D, Scherle Matamoros C, Fernández Cúe L, Miranda Hernández JL, Pernas Sánchez Y, Pérez Nellar J. Factores asociados a una evolución desfavorable en la hemorragia subaracnoidea aneurismática. Serie de 334 pacientes [Internet]. Neurología. 2015 Mar [Citado: 6.6.2016]. 35(6):[aprox. 7 p.]. Disponible en http://apps.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=0&pident_usuario=0&pcontactid=&pident_revista=295&ty=0&accion=L&origen=zonadelectura&web=www.elsevier.es&lan=es&fichero=S0213–4853(14)00269–2.pdf&eop=1&early=si

  15. Helbok R, Kurtz P, Vibbert M, Schmidt MJ, Fernandez L. Early neurological deterioration after subarachnoid haemorrhage: risk factors and impact on outcome. J Neurol Neurosurg Psychiatry [Internet]. 2013 Mar [citado 5.6.2016]; 84(3): [aprox. 5 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23012446

  16. Angulo Bazán Y, Rabanal Odar E, Bedoya Arzapalo V, Sánchez Herrera D, Callupe Huamán G, Díaz Marín J, et al. Factores asociados a hemorragia subaracnoidea aneurismática en el Hospital Nacional Edgardo Rebagliati Martins (2009). Estudio Preliminar. Rev peru epidemiol [Internet]. 2011 [citado: 5.6.2016]; 15(1):[aprox. 5 p.]. Disponible en: www.ins.minsa.gob.pe

  17. Fandino J, Fathi A R, Graupner T, Jacob S, Landolt H. Perspectivas en el tratamiento del vasoespasmo cerebral inducido por hemorragia subaracnoidea. Neurocirugía. 2007; 18:16–27.

  18. Arauz A, López M, Cantu C, Barinagarrementeria F. Hemorragia Subaracnoidea no aneurismática. Estudio de seguimiento a largo plazo. Neurología. 2009;22:502–6.

  19. Hendrik FP, Fernandes MD, Marcus JR. Natural course of subarachnoid hemorrhage is worse in elderly patients. Arq Neuropsiquiatr. 2014;72(11):862–6.

  20. Chotai S, Ahn SY, Moon HJ, Kim JH, Chung HS, Chung YG, et al. Prediction of outcomes in young adult with aneurysmal subarachnoid hemorrhage. Neurol Med Chir (Tokyo). 2013;53:157—62.

  21. Rivero Rodríguez D, Scherle Matamoros CE, Gutiérrez Rojas ÁR, Pérez Nellar J, Gómez Viera N. Características clínicas y evolutivas asociados al resangrado en la hemorragia subaracnoidea aneurismática. Rev Cubana Neurol Neurocir [Internet]. 2014 [citado 5.6.2016]; 4(2):[aprox. 6 p.]. Disponible en: http://www.revneuro.sld.cu/index.php/neu/article/view/238

  22. Scherle–Matamoros CE, Pérez–Nellar J, Fernández–Cue L, Symptomatic vasospasm. Clinical manifestations. Neurocirugía (Astur). 2011 Apr; 22(2):116–22.

  23. Nieuwkamp DJ, Rinkel GJ, Silva R, Greebe P, Schokking DA. Subarachnoid haemorrhage in patients >75 years: clinical course, treatment and outcome. J Neurol Neurosurg Psychiatry. 2006;77:933–7.

  24. Lagares A, Gómez A P, Alén F J, Arikan F, Sarabia R, Horcajadas A, et al. Hemorragia subaracnoidea aneurismática: guía de tratamiento del Grupo de Patología Vascular de la Sociedad Española de Neurocirugía. Neurocirugía. 2011;22:93–115.

  25. Wan A, Jaja BN, Schweizer TA, Macdonald RL; on behalf of the SAHIT collaboration. Clinical characteristics and outcome of aneurysmal subarachnoid hemorrhage with intracerebral hematoma. J Neurosurg. 2016 Feb 26:1-8.

  26. Lo BW, Fukuda H, Angle M, Teitelbaum J, Macdonald RL, Farrokhyar F, et al. Aneurysmal subarachnoid hemorrhage prognostic decision-making algorithm using classification and regression tree analysis. Surg Neurol Int. 2016 Jul 7;7:73. doi: 10.4103/2152-7806.185786. eCollection 2016.

  27. Lo BW, Fukuda H, Nishimura Y, Farrokhyar F, Thabane L, Levine MA. Systematic review of clinical prediction tools and prognostic factors in aneurysmal subarachnoid hemorrhage. Surg Neurol Int. 2015 Aug 11;6:135. doi: 10.4103/2152-7806.162676. eCollection 2015.

  28. Jaja BN, Lingsma H, Schweizer TA, Thorpe KE, Steyerberg EW, Macdonald RL; SAHIT collaboration. Prognostic value of premorbid hypertension and neurological status in aneurysmal subarachnoid hemorrhage: pooled analyses of individual patient data in the SAHIT repository. J Neurosurg. 2015 Mar;122(3):644-52. doi: 10.3171/2014.10.JNS132694.

  29. Orakdöğen M, Tural Emon S, Somay H, Engin T, Ateş Ö, Berkman MZ. Prognostic factors in patients underwent aneurysmal clipping surgery due to spontaneous subarachnoid hemorrhage. Turk Neurosurg. 2015 Apr 22. doi: 10.5137/1019-5149.JTN.13654-14.1.

  30. Zhao B, Yang H, Zheng K, Li Z, Xiong Y, Tan X, et al. Preoperative and postoperative predictors of long-term outcome after endovascular treatment of poor-grade aneurysmal subarachnoid hemorrhage. J Neurosurg. 2016 Jul 1:1-8.




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