Short-term Results of Patients with Spontaneous Subarachnoid Hemorrhage in Intensive Care Unit: Single-center Experience

Objective:Few studies have evaluated patients with spontaneous subarachnoid haemorrhage (sSAH) from an intensivist perspective. This study aimed to report the results of patients with sSAH in a high-volume centre monitored by a team experienced in the fields of brain surgery, interventional radiolog...

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Autores principales:	Mehtap Pehlivanlar Küçük, Çağatay Erman Öztürk, Ahmet Oğuzhan Küçük, Esra Turunç, Fatma Ülger
Formato:	article
Lenguaje:	EN TR
Publicado:	Galenos Yayinevi 2021
Materias:	endovascular procedures intensive care unit mortality spontaneous subarachnoid haemorrhages subarachnoid haemorrhage therapy subarachnoid haemorrhage surgery Medicine R Internal medicine RC31-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/15e3b78fb05a48a7859bcd84f62f4453
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spelling	oai:doaj.org-article:15e3b78fb05a48a7859bcd84f62f44532021-11-23T10:33:41ZShort-term Results of Patients with Spontaneous Subarachnoid Hemorrhage in Intensive Care Unit: Single-center Experience2146-64162147-267X10.4274/tybd.galenos.2021.64936https://doaj.org/article/15e3b78fb05a48a7859bcd84f62f44532021-12-01T00:00:00Z http://www.turkishjic.org/archives/archive-detail/article-preview/short-term-results-of-patients-with-spontaneous-su/47388 https://doaj.org/toc/2146-6416https://doaj.org/toc/2147-267XObjective:Few studies have evaluated patients with spontaneous subarachnoid haemorrhage (sSAH) from an intensivist perspective. This study aimed to report the results of patients with sSAH in a high-volume centre monitored by a team experienced in the fields of brain surgery, interventional radiology and intensive care.Materials and Methods:Data of patients with sSAH followed up between January 2014 and July 2018 in the intensive care unit (ICU) were retrieved from ICU patient observation charts, file records and hospital automated information system.Results:This study enrolled 150 patients, of which 61 (40.7%) patients died despite receiving intensive care. Mortality rates between patients with (42.8%) and without (40%) vasospasm were comparable (p=0.917). Vasospasm developed in 37.8% of the 45 patients who underwent endovascular coiling and in 19.2% of those who underwent neurosurgical clipping (p=0.044). The median times that elapsed before endovascular or surgical procedures were 2.5 [interquartile range (IQR): 2-5] days in the surviving group and 2 (IQR: 1-5) days in the deceased group (p=0.164). Blood sodium and blood chloride levels were significantly higher in the deceased group from the third day onward. The median blood sodium level exceeded 142 mEq/L in the deceased group, but was lower than 142 mEq/L on the same day in the surviving group.Conclusion:The results of this study suggest that Glasgow coma scale (GCS) at admission to the ICU is one of the important factors that affect treatment success. GCS is an important independent factor in selecting the timing or type of treatment (surgical clipping/endovascular coiling) and medical treatments such as nimodipine in patients with sSAH requiring intensive care. In addition, the incidence of vasospasm was higher in patients who underwent endovascular coiling. Increased sodium and chloride values during follow-up are the only parameters significantly associated with mortality.Mehtap Pehlivanlar KüçükÇağatay Erman ÖztürkAhmet Oğuzhan KüçükEsra TurunçFatma ÜlgerGalenos Yayineviarticleendovascular proceduresintensive care unitmortalityspontaneous subarachnoid haemorrhagessubarachnoid haemorrhage therapysubarachnoid haemorrhage surgeryMedicineRInternal medicineRC31-1245Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENTRTürk Yoğun Bakim Derneği Dergisi, Vol 19, Iss 4, Pp 174-183 (2021)
institution	DOAJ
collection	DOAJ
language	EN TR
topic	endovascular procedures intensive care unit mortality spontaneous subarachnoid haemorrhages subarachnoid haemorrhage therapy subarachnoid haemorrhage surgery Medicine R Internal medicine RC31-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	endovascular procedures intensive care unit mortality spontaneous subarachnoid haemorrhages subarachnoid haemorrhage therapy subarachnoid haemorrhage surgery Medicine R Internal medicine RC31-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Mehtap Pehlivanlar Küçük Çağatay Erman Öztürk Ahmet Oğuzhan Küçük Esra Turunç Fatma Ülger Short-term Results of Patients with Spontaneous Subarachnoid Hemorrhage in Intensive Care Unit: Single-center Experience
description	Objective:Few studies have evaluated patients with spontaneous subarachnoid haemorrhage (sSAH) from an intensivist perspective. This study aimed to report the results of patients with sSAH in a high-volume centre monitored by a team experienced in the fields of brain surgery, interventional radiology and intensive care.Materials and Methods:Data of patients with sSAH followed up between January 2014 and July 2018 in the intensive care unit (ICU) were retrieved from ICU patient observation charts, file records and hospital automated information system.Results:This study enrolled 150 patients, of which 61 (40.7%) patients died despite receiving intensive care. Mortality rates between patients with (42.8%) and without (40%) vasospasm were comparable (p=0.917). Vasospasm developed in 37.8% of the 45 patients who underwent endovascular coiling and in 19.2% of those who underwent neurosurgical clipping (p=0.044). The median times that elapsed before endovascular or surgical procedures were 2.5 [interquartile range (IQR): 2-5] days in the surviving group and 2 (IQR: 1-5) days in the deceased group (p=0.164). Blood sodium and blood chloride levels were significantly higher in the deceased group from the third day onward. The median blood sodium level exceeded 142 mEq/L in the deceased group, but was lower than 142 mEq/L on the same day in the surviving group.Conclusion:The results of this study suggest that Glasgow coma scale (GCS) at admission to the ICU is one of the important factors that affect treatment success. GCS is an important independent factor in selecting the timing or type of treatment (surgical clipping/endovascular coiling) and medical treatments such as nimodipine in patients with sSAH requiring intensive care. In addition, the incidence of vasospasm was higher in patients who underwent endovascular coiling. Increased sodium and chloride values during follow-up are the only parameters significantly associated with mortality.
format	article
author	Mehtap Pehlivanlar Küçük Çağatay Erman Öztürk Ahmet Oğuzhan Küçük Esra Turunç Fatma Ülger
author_facet	Mehtap Pehlivanlar Küçük Çağatay Erman Öztürk Ahmet Oğuzhan Küçük Esra Turunç Fatma Ülger
author_sort	Mehtap Pehlivanlar Küçük
title	Short-term Results of Patients with Spontaneous Subarachnoid Hemorrhage in Intensive Care Unit: Single-center Experience
title_short	Short-term Results of Patients with Spontaneous Subarachnoid Hemorrhage in Intensive Care Unit: Single-center Experience
title_full	Short-term Results of Patients with Spontaneous Subarachnoid Hemorrhage in Intensive Care Unit: Single-center Experience
title_fullStr	Short-term Results of Patients with Spontaneous Subarachnoid Hemorrhage in Intensive Care Unit: Single-center Experience
title_full_unstemmed	Short-term Results of Patients with Spontaneous Subarachnoid Hemorrhage in Intensive Care Unit: Single-center Experience
title_sort	short-term results of patients with spontaneous subarachnoid hemorrhage in intensive care unit: single-center experience
publisher	Galenos Yayinevi
publishDate	2021
url	https://doaj.org/article/15e3b78fb05a48a7859bcd84f62f4453
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Short-term Results of Patients with Spontaneous Subarachnoid Hemorrhage in Intensive Care Unit: Single-center Experience

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