Neurocritical care complications and interventions influence the outcome in aneurysmal subarachnoid hemorrhage
Hammer A, Erbguth F, Hohenhaus M, Hammer C, Lücking H, Gesslein M, Killer-Oberpfalzer M, Steiner HH, Janssen H (2021)
Publication Type: Journal article
Publication year: 2021
Journal
Book Volume: 21
Article Number: 27
Journal Issue: 1
DOI: 10.1186/s12883-021-02054-6
Abstract
Background: This observational study was performed to show the impact of complications and interventions during neurocritical care on the outcome after aneurysmal subarachnoid hemorrhage (SAH). Methods: We analyzed 203 cases treated for ruptured intracranial aneurysms, which were classified regarding clinical outcome after one year according to the modified Rankin Scale (mRS). We reviewed the data with reference to the occurrence of typical complications and interventions in neurocritical care units. Results: Decompressive craniectomy (odds ratio 21.77 / 6.17 ; p < 0.0001 / p = 0.013), sepsis (odds ratio 14.67 / 6.08 ; p = 0.037 / 0.033) and hydrocephalus (odds ratio 3.71 / 6.46 ; p = 0.010 / 0.00095) were significant predictors for poor outcome and death after one year beside “World Federation of Neurosurgical Societies” (WFNS) grade (odds ratio 3.86 / 4.67 ; p < 0.0001 / p < 0.0001) and age (odds ratio 1.06 / 1.10 ; p = 0.0030 / p < 0.0001) in our multivariate analysis (binary logistic regression model). Conclusions: In summary, decompressive craniectomy, sepsis and hydrocephalus significantly influence the outcome and occurrence of death after aneurysmal SAH.
Authors with CRIS profile
Christian Hammer
Lehrstuhl für Funktionelle und Klinische Anatomie
Hannes Lücking
Department of Neuroradiology
Involved external institutions
Paracelsus Medizinische Privatuniversität, Nürnberg
Germany (DE)
Paracelsus Medizinische Privatuniversität
Austria (AT)
Klinikum Ingolstadt
Germany (DE)
Germany (DE)
Paracelsus Medizinische Privatuniversität
Austria (AT)
Klinikum Ingolstadt
Germany (DE)
How to cite
APA:
Hammer, A., Erbguth, F., Hohenhaus, M., Hammer, C., Lücking, H., Gesslein, M.,... Janssen, H. (2021). Neurocritical care complications and interventions influence the outcome in aneurysmal subarachnoid hemorrhage. BMC Neurology, 21(1). https://doi.org/10.1186/s12883-021-02054-6
MLA:
Hammer, Alexander, et al. "Neurocritical care complications and interventions influence the outcome in aneurysmal subarachnoid hemorrhage." BMC Neurology 21.1 (2021).
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