Free Article with CME: Cardiac Complications after aSAH | NEUROSURGERY Report

NEUROSURGERY Report
Free Article with CME: Cardiac Complications after aSAH
leave a comment

Daily news and updates provided by the NEUROSURGERY Editorial Office

JOURNAL FEATURES
JOURNAL CLUB

Background: Cardiac dysfunction is a well-known complication of aneurysmal subarachnoid hemorrhage (aSAH). However, the clinical significance of cardiac complications is largely unknown. Objective: To determine whether cardiac complications are independently related to outcomes and to identify potential predictors associated with these complications. Methods: We extracted all hospitalizations for aSAH from the National Inpatient Sample database for years 2002 to 2009. We used generalized estimating equations to determine whether cardiac complications were associated with the patient outcomes and to evaluate potential predictors of cardiac complications. Results: Among 53 713 cases of aSAH, there were 3609 (6.72%) and 151 (0.28%) incidences of cardiac failure (CF) and myocardial infarction (MI), respectively. The overall in-hospital mortality rate was 24.8%, whereas the mortality rate for patients with CF was 34.4% and the mortality rate for patients with MI was 29.8%. Patients who experienced CF were significantly more likely than other patients to die in the hospital (odds ratio: 1.6, 95% confidence interval: 1.47-1.68; P < .001). The difference in mortality rates between MI patients and other patients, however, was not statistically significant. The generalized estimating equation model identified 7 factors that were predictive of CF: age, sex, race, primary payer, diabetes, smoker, and cardiac disease. For MI, the model identified age, race, and primary payer as significant predictors of MI. Conclusion: Our results suggest that an important association exists between cardiac complications and mortality/morbidity in aSAH patients. aSAH patients with CF appear to have a higher mortality rate, longer hospital length of stay, and higher hospitalization costs compared with those without CF.

Search

Top Posts & Pages

Free Editor Choice: Cancer After Spinal Fusion: Bone Morphogenetic Protein

Free Article with CME: Survival and Prognostic Factors of Anaplastic Gliomas Free Article with CME: Cardiac Complications after aSAH Clinical Neurosurgery is Now Online Ahead of Print: Delayed Neurologic Deterioration Following Mild Head Injury

Guidelines for the Management of Acute Cervical Spine and Spinal Cord Injuries Ahead of Print: Superselective Shunt Occlusion for CSdAVFs Ahead of Print: Genitofemoral Nerve in Lateral Approach Ahead of Print: PPTg DBS in Movement Disorders

From: Risk Factors, Incidence, and Effect of Cardiac Failure and Myocardial Infarction in Aneurysmal Subarachnoid Hemorrhage Patients by Kim et al.
Free full text access. SANS Neurosurgery members can earn CME credits from this article. Combining the power of neurosurgerys most popular online learning resource with its most influential peer-reviewed journal, SANS Neurosurgery offers subscribers the resources to stay ahead in the rapidly moving field. Test your knowledge and neurosurgical decision-making skills with questions pulled from each issue of Neurosurgery. This SANS product provides users with the latest pearls and constantly evolving information from the latest scientific neurosurgery articles.
Written by NEUROSURGERY Editorial Office August 26, 2013 at 8:00 AM Posted in CME, Free Tagged with Cardiac failure, Myocardial infarction, subarachnoid hemorrhage

September 2013 Issue of Neurosurgery is Now Online

Email Subscription
Enter your email address to subscribe to this blog and receive notifications of new posts by email. Join 10,553 other followers
Sign me up!

Categories
CME (63) Correspondence (77) Editor Choice (182) Editorial (4) Events (19) Free (192)

Clinical Neurosurgery is Now Online

Free Article with CME: Survival and Prognostic Factors of Anaplastic Gliomas

News (267)

Podcast (108)

Leave a Reply
Enter your comment here...

Poll (2)

Press Release (11)

Publish Ahead of Print (627)

Follow

Follow Supplemental Audio (2) NEUROSURGERY Supplemental Video (138) Report Tutorial (12)
Get every new post delivered to your Inbox.
Blog at WordPress.com. The Journalist v1.9 Theme.

Supplemental Content (164)

Join 10,553 other followers

http://neurosurgerycns.wordpress.com/2013/08/26/free-article-with-cme-cardiac-complications-after-asah/#more-10481[26-08-2013 23:04:52]