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Patients with aneurysmal subarachnoid haemorrhage treated in Swedish intensive care: A registry study
Linköping University, Department of Biomedical and Clinical Sciences, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Neurosurgery.
Linköping University, Department of Biomedical and Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Regionledningskontoret, Övr Regionledningskontoret. Swedish Natl Patient Insurance Co LOF, Sweden.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Clinical Chemistry and Pharmacology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Anaesthesiology and Intensive Care in Norrköping. Region Östergötland, Heart Center, Department of Thoracic and Vascular Surgery.
Linköping University, Department of Biomedical and Clinical Sciences, The Division of Cell and Neurobiology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Neurosurgery.ORCID iD: 0000-0003-2284-846x
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2024 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 68, no 8, p. 1031-1040Article in journal (Refereed) Published
Abstract [en]

Background: Aneurysmal subarachnoid haemorrhage (aSAH) is a life-threatening disease with high mortality and morbidity. Patients with aSAH in Sweden are cared for at one of six neuro intensive care units (NICU) or at a general intensive care unit (ICU).This study aimed to describe the incidence, length of stay, time in ventilator and mortality for these patients. Methods: This is a retrospective, descriptive study of patients with aSAH, registered in the Swedish Intensive care Registry between 2017 and 2019. The cohort was divided in sub-cohorts (NICU and general ICU) and regions. Mortality was analysed with logistic regression. Results: A total of 1520 patients with aSAH from five regions were included in the study. Mean age of the patients were 60.6 years and 58% were female. Mortality within 180 days of admission was 30% (n = 456) of which 17% (n = 258) died during intensive care. A majority of the patients were treated at one hospital and in one ICU (70%, n = 1062). More than half of the patients (59%, n = 897) had their first intensive care admission at a hospital with a NICU. Patients in the North region had the lowest median GCS (10) and the highest SAPS3 score (60) when admitted to NICU. Treatment with invasive mechanical ventilation differed significantly between regions; 91% (n = 80) in the region with highest proportion versus 56% (n = 94) in the region with the lowest proportion, as did mortality; 16% (n = 44) versus 8% (n = 23). No differences between regions were found regarding age, sex and length of stay. Conclusions: Patients with aSAH treated in a NICU or in an ICU in Sweden differs in characteristics. The study further showed some differences between regions which might be reduced if there were national consensus and treatment guidelines implemented.

Place, publisher, year, edition, pages
WILEY , 2024. Vol. 68, no 8, p. 1031-1040
Keywords [en]
intensive care; neuro intensive care; registry; subarachnoid haemorrhage; neurosurgery
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-204278DOI: 10.1111/aas.14453ISI: 001234871300001PubMedID: 38812348Scopus ID: 2-s2.0-85194880566OAI: oai:DiVA.org:liu-204278DiVA, id: diva2:1867430
Available from: 2024-06-10 Created: 2024-06-10 Last updated: 2025-01-14Bibliographically approved

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Danielsson, MaritaEngerström, LarsTobieson, LovisaOrwelius, Lotti

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Arnlind, AnnaDanielsson, MaritaEngerström, LarsTobieson, LovisaOrwelius, Lotti
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Division of Surgery, Orthopedics and OncologyFaculty of Medicine and Health SciencesDepartment of NeurosurgeryDepartment of Biomedical and Clinical SciencesÖvr RegionledningskontoretDivision of Clinical Chemistry and PharmacologyDepartment of Anaesthesiology and Intensive Care in NorrköpingDepartment of Thoracic and Vascular SurgeryThe Division of Cell and NeurobiologyDivision of Nursing Sciences and Reproductive HealthANOPIVA US
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Acta Anaesthesiologica Scandinavica
Surgery

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