Mechanical ventilation for ischemic and hemorrhagic stroke: Indications and prognosis

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dc.authorscopusid6602822048
dc.authorscopusid6506447719
dc.authorscopusid6603449796
dc.authorscopusid6603040523
dc.authorscopusid55931238700
dc.contributor.authorBalci K.
dc.contributor.authorUzunca I.
dc.contributor.authorEkuklu G.
dc.contributor.authorTurgut N.
dc.contributor.authorUtku U.
dc.date.accessioned2024-06-12T10:28:47Z
dc.date.available2024-06-12T10:28:47Z
dc.date.issued2002
dc.description.abstractMortality 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.en_US
dc.identifier.endpage112en_US
dc.identifier.issn1301-1375
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-0036672872en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage109en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/17429
dc.identifier.volume8en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofTurk Beyin Damar Hastaliklari Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMechanical Ventilation; Prognosis; Strokeen_US
dc.subjectArticle; 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 Indicationen_US
dc.titleMechanical ventilation for ischemic and hemorrhagic stroke: Indications and prognosisen_US
dc.title.alternativeİskemi?k ve hemoraji?k stroklarda mekaniri?k venti?latör kullanimi: Endi?kasyon ve prognozen_US
dc.typeArticleen_US

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