Pulmonary complications after intracerebral hemorrhage
Pulmonary complications after intracerebral hemorrhage
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DOI：
10.1385/ncc:5:2:115
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发表时间：
2006-01-01
影响因子：
3.5
通讯作者：
Manno, Edward M.
中科院分区：
文献类型：
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作者：
Maramattom, Boby Varkey;Weigand, Stephen;Manno, Edward M.
目的：在选定的脑内出血（ICH）患者人群中，没有关于肺部并发症的数据。目前，大多数数据是从联合收割机合并缺血性和出血性卒中患者的卒中患者系列中推断出来的。本研究的目的是确定ICH患者肺部并发症的发生频率、类型、其与临床变量的相关性以及对住院时间的影响。材料和方法：1999年1月至2003年10月期间，共对144名连续ICH患者的肺部并发症进行了分析，例如肺炎、肺水肿、肺栓塞或其他并发症。结果：共有41例患者（28%，95%置信区间，22-36%）发生肺部并发症。最常见的事件是肺炎（19%）和肺水肿（8%）。并发症最常在ICH发作后立即发生（63%在入院当天检测到）。肺部并发症延长了存活者的住院时间。结论：我们的研究提供了急性脑出血后肺部并发症的数据。几乎三分之一的ICH患者发生肺部并发症。肺部并发症增加了发病率、死亡率和住院时间。这些并发症的积极管理可以潜在地减少发病率，死亡率，住院时间，并在这组患者发生的财务支出。
Objective: There are no data on pulmonary complications in an selected population of patients with intracerebral hemorrhages (ICH). At present, most data is extrapolated from series of patients with stroke that combine patients with both ischemic and hemorrhagic strokes. The purpose of this study was to determine the frequency,,types of pulmonary complications in patients with ICH, their association with clinical variables, and contribution to hospital stay.Materials and Methods: A total of 144 consecutive patients with ICH between January 1999 and October 2003 were analyzed for pulmonary complications such as pneumonia, pulmonary edema, pulmonary embolism, or miscellaneous complications.Results: Overall, 41 patients (28%,95% confidence interval, 22-36%) developed pulmonary complications. The most common events were pneumonia (19%) and pulmonary edema (8%). Complications were most often encountered immediately after the onset of ICH (63% detected on the day of admission). Pulmonary complications lengthened the duration of hospital stay among survivors.Conclusions: Our study provides data on pulmonary complications after acute ICH. Almost one-third of patients with ICH develop pulmonary complications. Pulmonary complications increased morbidity, mortality, and duration of hospital stay. Aggressive management of these complications can potentially reduce the morbidity, mortality, duration of hospital stay, and financial expenditure incurred in this group of patients.