[The study of prognostic factors of spontaneous subarachnoid hemorrhage]. / Estudio de los factores pronósticos en la hemorragia subaracnoidea espontánea.

INTRODUCTION: The subarachnoid haemorrhage non traumatic assumes between the 6-8% of all acute cerebrovascular, besides is more frequent in young persons. The mortility and mortality is high and the predictive factors of the worse prognostic in unknown. MATERIAL AND METHODS: In the present work, we realized a study of the patients admitted to our intensive care unite (UCI) a cause of the subarachnoid haemorrhage during the last ten years. In the same time of admitted to the UCI we applied Glasgow coma scale. Apache II and Hunt-Hess scale. The clinic dates analyzed were sex, age, glycemia, rate heart, middle arterial pressure, intraventricular haemorrhage and arrhythmias. The number of patients was the 100 the 68% were female and the 32% were male. The middle age was 48,98 +/- 21,82 years-old. RESULTS: We obtained a worse prognostic in the 58%, versus in the 42% of the patients and the prognostic factors were Glasgow coma scales. Hunt-Hess scale, rate heart, middle arterial pressure, glycemia, intraventricular haemorrhage and arrhythmias.

[Study of electrocardiographic alterations during the acute phase of intracerebral hemorrhage and their prognostic implications]. / Estudio de las alteraciones electrocardiográficas durante la fase aguda de una hemorragia intraparenquimatosa y sus implicaciones pronósticas.

The electrocardiographic abnormalities occurring with acute central nervous system disease were known phenomenon. In this study, we have done a descriptive study of 100 patients with intracranial haemorrhage (ICH) compared with a control group and the changes associated a worse prognostic. We have observed that the incidence of abnormalities electrocardiographic were most frequent in the patients with ICH (p < 0.05). The incidence of abnormalities in the pattern electrocardiographic was the 70% and the incidence of arrhythmias was the 56%. We have also observed that the presence of Q wave, QTc > or = 0.44 sec and the atrial fibrillations means a worse prognostic. We conclude that the incidence of abnormalities electrocardiographic in the ICH is elevate an the presence of Q wave, QTc > or = 0.44 an the atrial fibrillations means a worse prognostic.

[Epidemiological study of nosocomial meningitis in neurological patients]. / Estudio epidemiólogico de la meningitis nosocomial en el enfermo neurológico.

We realized a retrospective study of all the patients who developed a nosocomial meningitis after to admitted to the Intensive Care Unit of our hospital, during the last five years. Nosocomial meningitis was found in 3.29% of the neurologic patients. The most frequent causes of the meningitis was the external ventricular drainage (14.8%), post-neurosurgical (0.8%) and head injury (0.0007%). The causative bacterias were stafilococo, S. pneumoniae, K. pneunomiae and P. aeruginosa. The mortality was of the 39.06%.