Long-term recovery profile of patients with severe disability or in vegetative states following severe primary intracerebral hemorrhage.
J Crit Care
; 48: 269-275, 2018 12.
Article
en En
| MEDLINE
| ID: mdl-30248648
ABSTRACT
PURPOSE:
We conducted a single-center retrospective review to investigate the long-term recovery of patients who were severely disabled or vegetative secondary to primary intracerebral hemorrhage upon discharge from hospital from January 2009 to November 2013.METHODS:
Patients were categorized into two groups based on their Glasgow outcome scale (GOS) scores at discharge, namely vegetative state (GOS 2; nâ¯=â¯91) and severely disabled (GOS 3; nâ¯=â¯278). Long-term outcomes at three years post discharge were defined as death, stable, deterioration and improvement from discharge to follow-up.RESULTS:
Lower mortality (29% versus 69%) and higher neurological improvement rates at three years (33% versus 10%) were observed in the SD compared to VS group (both pâ¯=â¯.0001). Age was a significant predictor of survival in the VS group (pâ¯=â¯.03) and the SD group (pâ¯=â¯.012). Age was also the only predictor of neurological improvement in the SD group (pâ¯=â¯.01).CONCLUSIONS:
Neurological status at discharge from hospital was not truly indicative of long-term prognosis for patients who were severely disabled or vegetative. Patients in both groups can potentially improve in the long term and may benefit from prolonged rehabilitation programmes to maximize their recovery potential.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Hemorragia Cerebral
/
Personas con Discapacidad
/
Estado Vegetativo Persistente
/
Recuperación de la Función
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Crit Care
Asunto de la revista:
TERAPIA INTENSIVA
Año:
2018
Tipo del documento:
Article
País de afiliación:
Singapur