Dannys Rivero Rodríguez, Claudio Scherle Matamoros, Leda Fernández Cúe, Jose Luis Miranda Hernández, Yanelis Pernas Sánchez, Jesús Pérez Nellar
Methods. "Ameijeiras Brother's" and "Cmdt. Manuel Fajardo" Hospitals enrolled 64 patients (multicentre retrospective cohort) with aneurysmal subarachnoid haemorrhage and rebleeding. The patients were admitted to the Stroke Unit (SU) between January 1, 2006, and December 1, 2013. Demographic, clinical, and radiological variables were examined in logistic regression to evaluate independent factors for increasing the risk of death. Results. Patients with systolic blood pressure >160 mmHg (P = 0.02), serum glucose >7 mmol/L (P = 0.02), aneurysm location in artery communicant anterior (P = 0.03), and black/mixed race (P = 0.008) were significant related to death in univariate analysis. Risk factors (HTA, smoke, alcohol consumption, and DM), complication, multiplex rebleeding and stage of WFNS, and Fisher's scale were not related to mortality. Patients with three or more complications had a higher mortality rate (P = 0.002). The results of the multivariate logistic regression analysis indicated that race (black/mixed, P = 0.00, OR 4.62, and 95% IC 1.40-16.26), systolic blood pressure (>160 mmHg, P = 0.05, OR 2.54, and 95% IC 1.01-3.13), and serum glucose (>7.0 mmol/L, P = 0.05, OR 1.82, and 95% IC 1.27-2.67) were independent risk factors for death. Conclusions. The black/mixed race, SBP, and serum glucose were independent predictors of mortality. Three or more complications were associated with increasing the probability to death. Further investigation is necessary to validate these findings.
J Korean Neurosurg Soc. 2010 Feb;47(2):119-23
[PMID:
20224710]
Stroke. 2012 Jun;43(6):1711-37
[PMID:
22556195]
Stroke. 2007 Aug;38(8):2315-21
[PMID:
17569871]
Neurology. 2010 May 11;74(19):1494-501
[PMID:
20375310]
Scott Med J. 1957 May;2(5):200-15
[PMID:
13432835]
Cerebrovasc Dis. 2013;35(2):93-112
[PMID:
23406828]
Neurology. 2012 Jan 3;78(1):31-7
[PMID:
22170890]
Lancet Neurol. 2009 Jul;8(7):635-42
[PMID:
19501022]
J Neurosurg. 2013 Dec;119(6):1627-32
[PMID:
24015781]
Neuroepidemiology. 2002 May-Jun;21(3):131-41
[PMID:
12006776]
Crit Care. 2014 May 04;18(3):R89
[PMID:
24887049]
J Crit Care. 2013 Apr;28(2):182-8
[PMID:
22835419]
Stroke. 2006 Jan;37(1):199-203
[PMID:
16339481]
Neurosurgery. 1980 Jan;6(1):1-9
[PMID:
7354892]
J Stroke Cerebrovasc Dis. 2014 May-Jun;23(5):902-9
[PMID:
24103667]
World Neurosurg. 2013 Feb;79(2):307-12
[PMID:
22722033]
Stroke. 2004 Aug;35(8):1941-5
[PMID:
15232123]
Crit Care Med. 2008 Dec;36(12):3233-8
[PMID:
18936695]
Stroke. 2011 Oct;42(10):2944-6
[PMID:
21799172]
J Clin Neurosci. 2010 Jan;17(1):34-7
[PMID:
20004103]
Crit Care. 2012 Oct 02;16(5):R175
[PMID:
23031322]
J Neurosurg. 1988 Jun;68(6):985-6
[PMID:
3131498]
World Neurosurg. 2014 Jan;81(1):32-3
[PMID:
23333473]
J Neurosurg. 2005 Jul;103(1):18-24
[PMID:
16121968]
Lancet. 1974 Jul 13;2(7872):81-4
[PMID:
4136544]
Intensive Care Med. 2008 Jul;34(7):1200-7
[PMID:
18320167]
Stroke. 2009 Jun;40(6):1958-62
[PMID:
19228833]
PLoS One. 2014 Jun 09;9(6):e99536
[PMID:
24911172]
