کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5626911 1579660 2017 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Full Length ArticleNeuroscience step-down unit admission criteria for patients with intracerebral hemorrhage
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
پیش نمایش صفحه اول مقاله
Full Length ArticleNeuroscience step-down unit admission criteria for patients with intracerebral hemorrhage
چکیده انگلیسی


- A financial conservation effort should be taken as the population and demands of medical care are increasing.
- The evidence lacks which ICH patients can be safely monitored in a step-down unit as oppose to an intensive care unit.
- Patients who fulfill step-down unit admission criteria can be safely monitored in stroke unit.

ObjectivesThe goal of our study is to determine optimal criteria which can be used to avoid admission to neuroscience intensive care units for patients with intracerebral hemorrhage (ICH).Patients and methodsThis is a retrospective cohort study of 431 patients with primary ICH from January 2013 to the end of December 2015 and reviewed multiple admitting characteristics. Based on these needs, we tested the following step-down unit admission criteria: Supratentorial ICH, ICH volume <20 cc, no Intraventricular hemorrhage (IVH), systolic BP <200 mmHg, no respiratory failure, GCS ≥ 12. We classified 431 patients into two groups; 1-Patients who met step-down unit admission Criteria (71 patients). 2-Patients who didn't meet the criteria (360 patients).ResultsIn our patients, 16.5% fulfilled the criteria. Length of stay in the ICU was 1.43 days in step-down unit admission criteria patients. None of the patients who fulfilled the criteria were readmitted to the ICU, compared to 3 readmissions among the group of patients who did not fulfill the criteria (P = 0.82). None of these patients required a neurosurgical procedure vs 47 patients (10.9%) in the other group (P = 0.04). Among patients who met the criteria, 83.1% were discharged home or rehab RR 0.33 CI (0.19-0.55), (P < 0.0001).ConclusionWe propose that patients who fulfill step-down unit admission criteria can be safely monitored in stroke unit and they have no need for ICU admission. Further studies are needed to validate these criteria in a prospective manner.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Neurology and Neurosurgery - Volume 162, November 2017, Pages 12-15
نویسندگان
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