Mechanical ventilation for ischemic and hemorrhagic stroke: Indications and prognosis
Küçük Resim Yok
Tarih
2002
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Mortality rates of stroke have declined with the use of invasive treatment procedures (decompression, thrombolysis) and development of stroke intensive care units. Although, outcome in stroke patients who require mechanical ventilation, remains very poor. In this study, clinical and radiographic features and prognosis of stroke patients requiring mechanical ventilation were analysed. In this study, we analysed patients who admitted to our clinic, with ischemic stroke (IS) and intracerebral hemorrhage (ICH) and required mechanical ventilation between the dates 1999, December and 2001, June. Age, gender, Glasgow Coma Score (GCS), type of stroke (ischemic or hemorrhagic stroke), localisation of lesions (carotid or vertebrobasilar system for ischemic stroke and supratentorial or infratentorial for intracerebral hemorrhage), indications for endotracheal intubation (neurological deterioration or other reasons), timing and duration of intubation and prognosis were determined for all patients. Patients intubated for theurapeutic hyperventilation were not included in the study. Fortynine of 796 patients (157 of them had intracerebral hemorrhage and 639 of them had ischemic stroke) admitted to our clinic during the study period, were included in the study. 17 of 157 patients (10.82%) with hemorrhagic stroke and 32 of 639 patients (5.008%) with ischemic stroke required mechanical ventilation. 37 of 49 patients (75.5%) were intubated because of neurological deterioration and 12 of them (24.5%) were intubated because of other reasons. Mortality rate of 97% was found in our study. Avarage timing of intubation was 117.2±166.5 hours and avarage duration of intubation was 47.8±103.9 hours. Prognosis of stroke requiring mechanical ventilation is poor and mortality rates are still very high. Our mortality rate of 97% is similar to other studies. In our study, patients with intracerebral hemorrhage had an intubation rate that was two times higher than those with ischemic stroke.
Açıklama
Anahtar Kelimeler
Mechanical Ventilation; Prognosis; Stroke, Article; Artificial Ventilation; Blood Clot Lysis; Brain Decompression; Brain Hemorrhage; Cerebrovascular Accident; Clinical Feature; Endotracheal Intubation; Human; Hyperventilation; Intensive Care; Major Clinical Study; Mortality; Prognosis; Radiodiagnosis; Stroke; Treatment Indication
Kaynak
Turk Beyin Damar Hastaliklari Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
8
Sayı
2
