Long-term Outcomes of Critically Ill Patients With Stroke Requiring Mechanical Ventilation.
Am J Crit Care
; 28(6): 477-480, 2019 11.
Article
en En
| MEDLINE
| ID: mdl-31676523
ABSTRACT
BACKGROUND:
Data on outcomes of critically ill patients requiring mechanical ventilation at the onset of stroke are limited.OBJECTIVE:
To assess the hospital and long-term functional outcomes of patients with stroke who require mechanical ventilation.METHODS:
This retrospective single-center cohort study performed from 1994 to 2008 involved adult patients within 7 days of stroke onset and who required intensive care unit admission and mechanical ventilation.RESULTS:
A total of 274 patients requiring mechanical ventilation at the onset of stroke were analyzed. Indications for intubation included coma in 195 patients (71%). The median (interquartile range) score on the Glasgow Coma Scale at admission to the intensive care unit was 6 (3-9). Forty-four patients (16%) had sepsis at intensive care unit admission. The overall hospital mortality rate was 53%. After adjustment for confounders, severity of illness at admission as assessed by the Simplified Acute Physiology Score II (odds ratio, 1.07; 95% CI, 1.05-1.10), anisocoria (odds ratio, 5.26; 95% CI, 1.76-15.80), and sepsis at intensive care unit admission (odds ratio, 0.40; 95% CI, 0.19-0.85) were associated with outcome. At 1 year, median (interquartile range) modified Rankin Scale score was 6 (2-6). Only 89 patients (32%) exhibited mild to moderate neurologic impairment.CONCLUSION:
In this study, adult patients requiring mechanical ventilation at the onset of stroke experienced high 1-year mortality, with survivors having poor functional status.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Respiración Artificial
/
Enfermedad Crítica
/
Accidente Cerebrovascular
/
Pruebas Diagnósticas de Rutina
/
Enfermería de Cuidados Críticos
/
Efectos Adversos a Largo Plazo
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Am J Crit Care
Asunto de la revista:
ENFERMAGEM
/
TERAPIA INTENSIVA
Año:
2019
Tipo del documento:
Article