ArticleNeurocritical care2013
Early predictors of prolonged stay in a critical care unit following aneurysmal subarachnoid hemorrhage.
Article in Neurocritical care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 19 citations in OpenAlex.
- Microsurgical Clipping in Poor-Grade Aneurysmal Subarachnoid Hemorrhage (WFNS Grades 4-5) Patients from Hybrid Neurosurgeons' Perspective: Clinical Profile and Functional Outcomes.Brain sciences · 2026Article
- Readmission into intensive care unit in patients with aneurysmal subarachnoid hemorrhage.Journal of cerebrovascular and endovascular neurosurgery · 2021Article
- Multidrug Resistence Prevalence in COVID Area.Life (Basel, Switzerland) · 2021Article
- The Acquisition of Multidrug-Resistant Bacteria in Patients Admitted to COVID-19 Intensive Care Units: A Monocentric Retrospective Case Control Study.Microorganisms · 2020Article
- Lessons from the CONSCIOUS-1 Study.Journal of clinical medicine · 2020Review
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAneurysmal subarachnoid hemorrhage (aSAH) is a neurologic emergency that typically warrants initial monitoring in a critical care setting. The aim of this study is to identify clinical and radiologic features on admission that predict a protracted critical care admission following aSAH.
methodsExploratory posthoc analysis was performed on the 413 patients enrolled in Clazosentan to Overcome Neurological iSChemia and Infarction OccUrring after Subarachnoid hemorrhage (CONSCIOUS-1), a prospective randomized control trial of clazosentan for the prevention of vasospasm after aSAH. The association between potential clinical and radiographic covariates, and the length of stay (LOS) in a critical care unit after aSAH was determined using a Cox proportional hazards model. Covariates with a significance level of p < 0.20, on univariate analysis, were entered into a multivariate forward conditional analysis to identify independent predictors of prolonged LOS.
resultsThe mean LOS was 12.6 ± 10.6 days. On multivariate analysis, age (hazard ratio [HR] 1.01, 95 % confidence interval [CI] 1.00-1.02; p = 0.032), a history of hypertension (HR 1.30, CI 1.01-1.67; p = 0.045), and a World Federation of Neurosurgical Societies Score of IV-V on admission (HR 1.38, CI 1.05-1.81; p = 0.02) were the clinical features associated with a greater critical care LOS following aSAH. Intracerebral hemorrhage (HR 1.50, CI 1.03-2.21; p = 0.004) and increasing intraventricular clot burden (HR 1.08, CI 1.03-1.14; p = 0.037) on admission computed tomography were the radiologic features associated with prolonged LOS.
conclusionsWe have identified several early risk factors associated with a prolonged critical care stay following aSAH.
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