Hemorragia subaracnoidea aneurismática: avances clínicos

Zufiría, José Manuel Ortega; Alonso, Marta Calvo; Prieto, Noemí Lomillos; Cuba, Bernardino Choque; Degenhardt, Martin Tamarit; Núñez, Pedro Poveda; Guitián, Raquel Iglesias

doi:10.1016/j.neuarg.2016.11.002

Cited by 4 publications

(3 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This may be related to the differences in health coverage between countries. However, it may also be due to the lack of uniform criteria for the definition of mild head injury, and on the contrary, not all patients who suffer this type of accident are reflected in the healthcare statistics (25).…”

Section: Discussionmentioning

confidence: 99%

Platelet levels and age are determinants of survival after mild–moderate TBI: A prospective study in Spain

Yuguero

Vena

Bernal

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

IntroductionTraumatic brain injury (TBI) is a very important reason for consultation in emergency departments.MethodsA hospital cohort study with patients who attended a hospital emergency department between June 1, 2018 and December 31, 2020 due to TBI was studied. Clinical and sociodemographic variables were recorded. The levels of biomarkers and management variables were used. Qualitative variables were analyzed using Pearson's chi-square test, and quantitative variables using the Mann–Whitney U-test. Survival analyses were performed by fitting a multivariable Cox regression model for patient survival during the follow-up of the study in relation to the patient's characteristics upon admission to the emergency department.ResultsA total of 540 patients were included. The mean age was 83 years, and 53.9% of the patients were men. Overall, 112 patients (20.7%) died during the study follow-up. The mortality rate per 100 person-years was 14.33 (11.8–17.24), the most frequent mechanism being falls in the home, with none caused on public roads. The multivariable Cox proportional hazards model showed that survival after TBI was significantly associated with age, S100 levels, Charlson index, patient's institutionalized status, the place where the TBI occurred, and hemoglobin and platelet levels.DiscussionThe most common profile for a patient with a TBI was male and aged between 80 and 90 years. The combination of the variables age, Charlson index, place of TBI occurrence, and hemoglobin and platelet levels could offer early prediction of survival in our population independently of TBI severity. With the data obtained, a therapeutic algorithm could be established for patients suffering from mild TBI, allowing the patient to be supervised at home, avoiding futile referrals to emergency services.

show abstract

Section: Discussionmentioning

confidence: 99%

Platelet levels and age are determinants of survival after mild–moderate TBI: A prospective study in Spain

Yuguero

Vena

Bernal

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…La localización mas común de estos aneurismas es en la circulación anterior y en puntos de estrés hemodinámico como se documentan en la TABLA 2. Hasta un 20% de los casos de HSA presentan múltiples aneurismas a la hora del diagnostico (8,9). tipo IV, enfermedad por depósitos de amiloide, enfermedad de células falciformes, deficiencia de alfa 1 antitripsina, enfermedad poliquística renal autosómica dominante (10% de los pacientes tiene aneurismas intracraneales asintomáticos) (1).…”

Section: Etiologíaunclassified

“… Tratamiento medico: Además de estos tratamientos, es de vital importancia el manejo medico e589 posterior a la cirugía quirúrgica o endoscópica: manejo de glicemia, presiones arteriales, niveles de sodio y control de temperatura entre otras, ya que con este manejo se ha visto mejoría en la morbilidad posterior a la cirugía y disminución de complicaciones y mortalidad. Se ha documentado una mejor prognosis si los pacientes son colocados en servicios calificados para eventos neurológicos (ictus, hemorragias cerebrales, entre otros) (5,7,8,9,11,12).…”

Section: Tratamientounclassified

Abordaje de hemorragia subaracnoidea

2020

View full text Add to dashboard Cite

La hemorragia subaracnoidea es un sangrado en el espacio subaracnoideo causado usualmente por ruptura espontanea de un aneurisma o por trauma craneoencefálico. El síntoma clínico mas importante es la cefalea en trueno asociada o no a alteraciones neurológicas, estos pacientes deben ser valorado por hemorragia subaracnoidea y realizarle una tomografía computariza en las primeras 6 horas para confirmación del diagnostico y posteriormente Angio tac, el tratamiento quirúrgico o endoscópico será indicado por especialistas en neurocirugía. Las complicaciones mas frecuentes son resangrado, vasoespasmo, edema cerebral, hiponatremia e hidrocefalia.

show abstract

The puzzle of spontaneous versus traumatic intracranial hemorrhages

et al. 2020

View full text Add to dashboard Cite

Intracerebral hemorrhage is hemorrhage occurring in the brain that can occur because of immediate trauma or structural disease process. The age-standardized mortality rate is decreasing worldwide especially in the past 20 years, but the number of cases and incidence along with number of disability-adjusted life-years and deaths keeps rising. Despite having half the incidence as ischemic stroke, intracerebral hemorrhage (traumatic or spontaneous) causes more morbidity and mortality than ischemic stroke and yet an established strategy for treatment on the lines of reperfusion therapy is a far-fetched dream. A selective review of all relevant articles covering recent treatment options and guidelines along with major emphasis of the surgical aspect and pathophysiology has been done. Complete literature review and differences between management of traumatic and spontaneous hemorrhage were sought and discussed. A pathophysiological basis of management should be followed for both these different yet similar pathologies. Understanding the etiology reveals a somewhat clearer picture regarding treatment of this highly unfortunate and devastating disease. Current interest is focused on the surgical management of the disease with the pathophysiology often been forgotten.

show abstract

Hemorragia subaracnoidea aneurismática: avances clínicos

Cited by 4 publications

References 10 publications

Platelet levels and age are determinants of survival after mild–moderate TBI: A prospective study in Spain

Platelet levels and age are determinants of survival after mild–moderate TBI: A prospective study in Spain

Abordaje de hemorragia subaracnoidea

The puzzle of spontaneous versus traumatic intracranial hemorrhages

Contact Info

Product

Resources

About