"FACTORES PRONÓSTICOS DEL PACIENTE CON HEMORRAGIA SUBARACNOIDEA ANEURISMÁTICA DEL SERVICIO DE TERAPIA INTENSIVA DEL HOSPITAL LUIS VERNAZA EN EL PERÍODO 2017 - 2018"

Abstract

To identify prognostic factors of the patient with aneurysmal subarachnoid hemorrhage, an analytical, descriptive, observational, retrospective and transversal study was designed, where 65 patients were evaluated between men and women from 18 to 79 years of age, who met the criteria for HSA aneurysmal hospitalized in the intensive care unit of the "Luis Vernaza" Hospital in Guayaquil, during January 2017 to August 2018. The epidemiological variables included were age, sex, personal and family history, habits, clinical condition to income according to Hunt and Hess scales, Fisher, World Federation of Neurological Surgeons, location and size of the aneurysm, type of treatment, complications and condition at discharge. Of 65 cases, the variables with the worst prognosis were ECG < 8 to the admission with mortality of 22% (OR: 3.5, 7 P: 0.02), according to the exclusion Aneurysmal, to 62% of patients was performed past the 72 hours with a mortality of 20% in relation to 22% that was not treated (or: 24.8 P: 0.002), data that is related to the most frequent complication, rebleeding with a mortality 17% (or 5.23 P: 0.01). The incidence was higher in women without generating an impact on mortality, in our opinion we must reconsider the time in which surgical treatment is performed due to the high risk of rebleeding, longer hospital stay and complications. Therefore, the creation of protocols for management, treatment and multidisciplinary work should be discussed.