Prognosis of stroke patients undergoing mechanical ventilation

to determine the outcome of stroke patients undergoing mechanical ventilation. retrospective chart review and follow-up telephone interview. medical ICU in a multidisciplinary university hospital. 199 stroke patients from 1984-1989 where the final diagnosis was stroke. all patients were admitted for...

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Bibliographic Details
Published in:Intensive care medicine 1994, Vol.20 (1), p.32-36
Main Authors: BURTIN, P, BOLLAERT, P. E, FELDMANN, L, NACE, L, LELARGE, P, BAUER, P, LARCAN, A
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Brain Ischemia - mortality
Brain Ischemia - therapy
Cerebral Hemorrhage - mortality
Cerebral Hemorrhage - therapy
Cerebrovascular Disorders - mortality
Cerebrovascular Disorders - therapy
Emergency and intensive care: comas and nervous system diseases
Female
Follow-Up Studies
France - epidemiology
Humans
Intensive care medicine
Male
Medical sciences
Middle Aged
Multivariate Analysis
Prognosis
Respiration, Artificial
Retrospective Studies
Risk Factors
Survival Analysis
Treatment Outcome
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Summary:to determine the outcome of stroke patients undergoing mechanical ventilation. retrospective chart review and follow-up telephone interview. medical ICU in a multidisciplinary university hospital. 199 stroke patients from 1984-1989 where the final diagnosis was stroke. all patients were admitted for the need of mechanical ventilation. demographic information, previous relevant diseases, stroke type, general clinical and neurological data, biochemical variables, severity of illness were recorded for the first 24 h following ICU admission. A 1-year follow-up was performed, including mortality and functional status of survivors. Of 170 eventually analyzable patients, 123 (72.4%) died during their ICU stay and 156 (91.8%) during the first year. Three variables were independently associated with one-year mortality: Glasgow score < 10 (p < 0.03), bradycardia (p < 0.001), absence of brainstem reflexes (p < 0.0004). overall prognosis of stroke needing mechanical ventilation is poor, strongly linked to symptoms of neurological impairment.
ISSN:0342-4642
1432-1238
DOI:10.1007/BF02425052