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The impact of cardiac complications on outcome in the SAH population
Author(s) -
Crago E. A.,
Kerr M. E.,
Kong Y.,
Baldisseri M.,
Horowitz M.,
Yonas H.,
Kassam A.
Publication year - 2004
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.2004.00311.x
Subject(s) - medicine , glasgow outcome scale , subarachnoid hemorrhage , modified rankin scale , barthel index , pulmonary edema , cardiology , anesthesia , glasgow coma scale , physical therapy , activities of daily living , ischemia , ischemic stroke , lung
Objectives – To determine the impact of cardiac complications (CdCs) on outcomes in patients with acute subarachnoid hemorrhage (SAH). Patients and methods – Eighty‐one adult aneurysmal SAH patients with a fisher grade >1 and/or a Hunt and Hess grade >2 were recruited for this study. CdCs were defined as electrocardiogram (ECG) changes, myocardial necrosis, arrythmias, or pulmonary edema. Outcomes were assessed at 3, 6 and 12 months by telephone interview using the Modified Rankin Scale (MRS), Glasgow Outcome Scale (GOS), Barthel Index and Medical Outcome study Short Form‐36 (SF‐36). Results – The CdCs occurred in 33% of patients. The most common CdCs were arrythmias and pulmonary edema (30%). There was no significant difference in mortality between the two groups. At 3 months there was a significant difference in the Barthel ( P = 0.007) and the SF‐36 ( P = 0.014) with trends in the GOS ( P = 0.049) and the MRS ( P = 0.063). At 6 months a significant difference remained in the SF‐36 ( P = 0.028) and a trend in the Barthel ( P = 0.069). Conclusion – Results show that CdCs may negatively impact outcomes in SAH patients up to 6 months following hemorrhage.