ArticleBMC anesthesiology2022
Outcomes of patients admitted to the ICU for acute stroke: a retrospective cohort.
Article in BMC anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Guidelines for Neuroprognostication in Critically ill Adults with Acute Ischemic Stroke.Neurocritical care · 2026Guideline
- Risk prediction models for short-term mortality in ICU stroke patients: a systematic review and meta-analysis.Frontiers in neurology · 2025Pooled it
- FIRST-ICU: forecasting interventions and risk stratification in the ICU using graph neural network autoencoders.NPJ digital medicine · 2026Article
- Resource Utilization After Mechanical Thrombectomy: Is ICU Care Required for All Patients?Neurocritical care · 2026Article
- Real-World Comparative Outcomes of Dual vs. Single Antiplatelet Therapy in Acute Ischemic Stroke: A Retrospective Cohort Analysis.Neurology and therapy · 2026Article
- Development and external validation of an interpretable machine learning model for early prediction of in-hospital mortality in neurocritical care.Frontiers in neurology · 2026Article
- Machine learning-based prediction of 90-day prognosis and in-hospital mortality in hemorrhagic stroke patients.Scientific reports · 2025Article
- Influence of neurological severity and degree of dependence of patients after stroke on nursing workload: a retrospective cohort.Revista da Escola de Enfermagem da U S P · 2025Article
- Association between base excess and mortality in critically ill patients with ischemic stroke: a retrospective cohort study.BMC neurology · 2024Article
- Exploring the utility of a latent variable as comprehensive inflammatory prognostic index in critically ill patients with cerebral infarction.Frontiers in neurology · 2024Article
- Cerebral Autoregulation Monitoring: A Guide While Navigating in Troubled Waters.Neurocritical care · 2023Article
- A comparison of random survival forest and Cox regression for prediction of mortality in patients with hemorrhagic stroke.BMC medical informatics and decision making · 2023Article
- Temporal trends in mortality and provision of intensive care in younger women and men with acute myocardial infarction or stroke.Critical care (London, England) · 2023Article
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Authors and funding
11 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough acute stroke is a leading cause of morbidity and mortality worldwide, data on outcomes of stroke patients requiring ICU admission are limited. We aimed to identify factors associated with a good neurological outcome (defined as a modified Rankin Scale score [mRS] of 0-2) 6 months after ICU admission.
methodsWe retrospectively studied consecutive patients who were admitted to the ICU of a French university-affiliated hospital between January 2014 and December 2018 and whose ICD-10 code indicated acute stroke. Patients with isolated subarachnoid hemorrhage or posttraumatic stroke were excluded.
resultsThe 323 identified patients had a median age of 67 [54.5-77] years; 173 (53.6%) were male. The main reasons for ICU admission were neurological failure (87%), hemodynamic instability (28.2%), acute respiratory failure (26%), and cardiac arrest (5.3%). At ICU admission, the Glasgow Coma Scale score was 6 [4-10] and the SAPSII was 54 [35-64]. The stroke was hemorrhagic in 248 (76.8%) patients and ischemic in 75 (23.2%). Mechanical ventilation was required in 257 patients (79.6%). Six months after ICU admission, 61 (19.5%) patients had a good neurological outcome (mRS, 0-2), 50 (16%) had significant disability (mRS, 3-5), and 202 (64.5%) had died; 10 were lost to follow-up. By multivariable analysis, factors independently associated with not having an mRS of 0-2 at 6 months were older age (odds ratio, 0.93/year; 95% confidence interval, 0.89-0.96; P < 0.01) and lower Glasgow Coma Scale score at ICU admission (odds ratio, 1.23/point; 95% confidence interval, 1.07-1.40; P < 0.01).
conclusionsAcute stroke requiring ICU admission carried a poor prognosis, with less than a fifth of patients having a good neurological outcome at 6 months. Age and depth of coma independently predicted the outcome.
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