与神经和外神经并发症和中风患者的死亡率相关的危险因素
Héctor A Rodríguez-Rubio1,2, Rodrigo López-Rodríguez1, Jonathan Ramos-Escalante1
1Neurological Surgery, Instituto Nacional de Neurología y Neurocirugía "Manuel Velasco Suárez", Mexico City, MEX.
Cureus
|July 24, 2023
概括
确定中风并发症的危险因素是关键. 以前的疾病显著增加了中风患者的死亡率和并发症风险,影响了医院的结果.
科学领域:
- 神经学 神经学
- 内部医学 内部医学
- 公共卫生 公共卫生
背景情况:
- 急性中风需要了解系统性并发症,以改善患者的治疗结果.
- 识别高风险患者对于及时有效的干预至关重要.
- 二级护理医院数据提供了关于中风并发症模式的见解.
研究的目的:
- 确定中风患者神经和外神经并发症的危险因素.
- 确定与住院中风患者死亡率相关的因素.
- 分析墨西哥二级护理环境中的住院并发症率和类型.
主要方法:
- 追溯分析86名患有缺血性/出血性中风或暂时性脑缺血症的成年患者.
- 对患者人口统计,临床特征和住院结果的审查.
- 纳入标准:在墨西哥的一家二级护理医院诊断的患者.
主要成果:
- 34.9%的中风患者经历并发症,不论中风类型.
- 以前存在的疾病是死亡率和并发症的最重要因素.
- 内高血压 (3.5%) 是主要的神经并发症;压力和医院肺炎 (4.7%) 是常见的外神经并发症.
结论:
- 以前的疾病是中风患者死亡率和并发症的主要预测因素.
- 内高血压,压力和医院肺炎是医院关键的并发症.
- 鉴定风险因素可以为中风患者制定有针对性的治疗策略.
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