Predictor’s of Mortality in Patients with Aneurysmal Subarachnoid Haemorrhage and Reebleding
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, clinica...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Neurology Research International |
| Online Access: | http://dx.doi.org/10.1155/2015/545407 |
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| author | Dannys Rivero Rodríguez Claudio Scherle Matamoros Leda Fernández Cúe Jose Luis Miranda Hernández Yanelis Pernas Sánchez Jesús Pérez Nellar |
| author_facet | Dannys Rivero Rodríguez Claudio Scherle Matamoros Leda Fernández Cúe Jose Luis Miranda Hernández Yanelis Pernas Sánchez Jesús Pérez Nellar |
| author_sort | Dannys Rivero Rodríguez |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-8e6f8b4a6ae04541b14535cb9d27a434 |
| institution | Kabale University |
| issn | 2090-1852 2090-1860 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Neurology Research International |
| spelling | doaj-art-8e6f8b4a6ae04541b14535cb9d27a4342025-02-03T01:10:25ZengWileyNeurology Research International2090-18522090-18602015-01-01201510.1155/2015/545407545407Predictor’s of Mortality in Patients with Aneurysmal Subarachnoid Haemorrhage and ReebledingDannys Rivero Rodríguez0Claudio Scherle Matamoros1Leda Fernández Cúe2Jose Luis Miranda Hernández3Yanelis Pernas Sánchez4Jesús Pérez Nellar5Stroke Unit Department, “Cmdt. Manuel Fajardo” Hospital, 10600 Havana, CubaStroke Unit Department, “Ameijeiras Brother’s” Hospital, 10300 Havana, CubaStroke Unit Department, “Ameijeiras Brother’s” Hospital, 10300 Havana, CubaStroke Unit Department, “Ameijeiras Brother’s” Hospital, 10300 Havana, CubaInternal Medicine Department, “Calixto García” Hospital, 10400 Havana, CubaStroke Unit Department, “Ameijeiras Brother’s” Hospital, 10300 Havana, CubaMethods. “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.http://dx.doi.org/10.1155/2015/545407 |
| spellingShingle | Dannys Rivero Rodríguez Claudio Scherle Matamoros Leda Fernández Cúe Jose Luis Miranda Hernández Yanelis Pernas Sánchez Jesús Pérez Nellar Predictor’s of Mortality in Patients with Aneurysmal Subarachnoid Haemorrhage and Reebleding Neurology Research International |
| title | Predictor’s of Mortality in Patients with Aneurysmal Subarachnoid Haemorrhage and Reebleding |
| title_full | Predictor’s of Mortality in Patients with Aneurysmal Subarachnoid Haemorrhage and Reebleding |
| title_fullStr | Predictor’s of Mortality in Patients with Aneurysmal Subarachnoid Haemorrhage and Reebleding |
| title_full_unstemmed | Predictor’s of Mortality in Patients with Aneurysmal Subarachnoid Haemorrhage and Reebleding |
| title_short | Predictor’s of Mortality in Patients with Aneurysmal Subarachnoid Haemorrhage and Reebleding |
| title_sort | predictor s of mortality in patients with aneurysmal subarachnoid haemorrhage and reebleding |
| url | http://dx.doi.org/10.1155/2015/545407 |
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