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Care of patients with "good grades" of aneurysmal subarachnoid hemorrhage in the stroke unit

Abstract:

Methods: a prospective descriptive study was conducted of a cohort of patients with"good grades" of ASH-A admitted to the Stroke Unit at Hermanos Ameijeiras Hospital in Havana from October 2005 to December 2009. Data was processed with the statistical software SPSS version 15.0.Objective: Estimate the impact of care to patients with "good grades"of aneurysmal subarachnoid hemorrhage (ASH-A). Conclusions: stroke Unit specialized care seems to be appropriate for patients with "good grades" of ASH-A.Results: 165 patients were studied. Mean age was 49.7 and female sex predominated (66.7%). The cerebral aneurysm could be isolated in 141 cases: 131 by surgery and 10 by endovascular procedure. In 21 cases treatment was performed before the third day of evolution. The main complications observed were rebleeding (18.8%), symptomatic vasospasm (15.2%), hydrocephaly (23%), hyponatremia (11.5%) and pneumonia (10.3%). Average hospital stay was 17.1 days. 20 patients were discharged with disabling sequelae; 27 died. The variables associated with a bad outcome at discharge were intensity of clinical manifestations at admission, magnitude of bleeding on CT brain scans, rebleeding, symptomatic vasospasm and pneumonia.