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Báo cáo y học: "Predictors for good functional outcome after neurocritical care"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Predictors for good functional outcome after neurocritical care. | Kiphuth et al. Critical Care 2010 14 R136 http ccforum.eom content 14 4 R136 c CRITICAL CARE RESEARCH Open Access Predictors for good functional outcome after neurocritical care 1 1 1 1 2 2 Ines C Kiphuth Peter D Schellinger Martin Kohrmann Jurgen Bardutzky Hannes Lucking Stephan Kloska Stefan Schwab1 Hagen B Huttner1 Abstract Introduction There are only limited data on the long-term outcome of patients receiving specialized neurocritical care. In this study we analyzed survival long-term mortality and functional outcome after neurocritical care and determined predictors for good functional outcome. Methods We retrospectively investigated 796 consecutive patients admitted to a non-surgical neurologic intensive care unit over a period of two years 2006 and 2007 . Demographic and clinical parameters were analyzed. Depending on the diagnosis we grouped patients according to their diseases cerebral ischemia intracranial hemorrhage ICH subarachnoid hemorrhage SAH meningitis encephalitis epilepsy Guillain-Barré syndrome GBS and myasthenia gravis MG neurodegenerative diseases and encephalopathy cerebral neoplasm and intoxication . Clinical parameters mortality and functional outcome of all treated patients were analyzed. Functional outcome using the modified Rankin Scale mRS one year after discharge was assessed by a mailed questionnaire or telephone interview. Outcome was dichotomized into good mRS 2 and poor mRS 3 . Logistic regression analyses were calculated to determine independent predictors for good functional outcome. Results Overall in-hospital mortality amounted to 22.5 of all patients and a good long-term functional outcome was achieved in 28.4 . The parameters age length of ventilation LOV admission diagnosis of ICH GBS MG and inoperable cerebral neoplasm as well as Therapeutic Intervention Scoring System TISS -28 on Day 1 were independently associated with functional outcome after one year. Conclusions This investigation revealed that age LOV and TISS-28 on .