Improving Outcome After Intracerebral Hemorrhage: Maybe It is the Body, Not the Brain

[...]limiting care early through a nihilistic approach does lead to worse outcomes. Admission lymphopenia was more common in patients with larger hematomas, older age, presence of intraventricular hemorrhage, infratentorial hematoma location, and lower Glasgow Coma Scale score on admission, all of w...

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Bibliographic Details
Published in:Neurocritical care 2017-04, Vol.26 (2), p.157-159
Main Author: Claude Hemphill III, J.
Format: Article
Language:English
Subjects:
Antibiotics
Blood pressure
Cerebral Hemorrhage - complications
Cerebral Hemorrhage - therapy
Cohort analysis
Critical care
Critical Care Medicine
Delirium
Editorial
Hematoma
Hemorrhage
Humans
Illnesses
Intensive
Internal Medicine
Intubation
Ischemia
Medicine
Medicine & Public Health
Mortality
Neurology
Nosocomial infections
Outcome and Process Assessment (Health Care) - standards
Pneumonia
Stroke
Ventilators
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Summary:[...]limiting care early through a nihilistic approach does lead to worse outcomes. Admission lymphopenia was more common in patients with larger hematomas, older age, presence of intraventricular hemorrhage, infratentorial hematoma location, and lower Glasgow Coma Scale score on admission, all of which are factors known to impact ICH outcome. Because this raised the issue of whether lymphopenia was merely a marker for more severe ICH, the authors adjusted for these factors when assessing the influence of lymphopenia on outcome as indicated by 90-day mortality. [...]in a study of 24,540 ICH patients in California, hospital readmission within 30 days occurred in 14.5%, with the majority related to infection [9]. Improving hospital survival and reducing brain dysfunction at seven California Community Hospitals: implementing PAD guidelines via the ABCDEF bundle in 6,064 patients.
ISSN:1541-6933
1556-0961
DOI:10.1007/s12028-017-0384-9