作者
Katja E Wartenberg, J Michael Schmidt, Jan Claassen, Richard E Temes, Jennifer A Frontera, Noeleen Ostapkovich, Augusto Parra, E Sander Connolly, Stephan A Mayer
发表日期
2006/3/1
期刊
Critical care medicine
卷号
34
期号
3
页码范围
617-623
出版商
LWW
简介
Objective:
Medical complications occur frequently after subarachnoid hemorrhage (SAH). Their impact on outcome remains poorly defined.
Design:
Inception cohort study.
Patients:
Five-hundred eighty patients enrolled in the Columbia University SAH Outcomes Project between July 1996 and May 2002.
Setting:
Neurologic intensive care unit.
Interventions:
Patients were treated according to standard management protocols.
Measurements and Main Results:
Poor outcome was defined as death or severe disability (modified Rankin score, 4–6) at 3 months. We calculated the frequency of medical complications according to prespecified criteria and evaluated their impact on outcome, using forward stepwise multiple logistic regression after adjusting for known predictors of poor outcome. Thirty-eight% had a poor outcome; mortality was 21%. The most frequent complications were temperature> 38.3 C (54%), followed by …
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