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Medicina crítica (Colegio Mexicano de Medicina Crítica)
Print version ISSN 2448-8909
Abstract
GONZALEZ PEREZ, Netzahualcóyotl; PORCAYO LIBORIO, Sandra and RIVERA DURON, Erika. Association systolic blood pressure with intracranial complications and mortality hospital in patients with subarachnoid hemorrhage Fisher IV. Med. crít. (Col. Mex. Med. Crít.) [online]. 2016, vol.30, n.3, pp.183-186. Epub Aug 30, 2021. ISSN 2448-8909.
Introduction:
The magnitude of the control of blood pressure to reduce the risk of intracranial complications and mortality in aneurysmal subarachnoid hemorrhage (aASH) of high degree is underestimated.
Hypothesis:
Systolic blood pressure (SBP) greater than 160 mmHg is associated with the presence of intracranial complications and hospital mortality in patients with HSAA Fisher IV.
Objective:
To analyze the association of SBP with the presence of intracranial complications and hospital mortality in patients with aASH Fisher IV.
Material and methods:
An observational, retrospective, comparative, from August 2014 to September 2015. Were 36 patients with aASH Fisher IV admitted to the unit neurocritical of the National Institute of Neurology and Neurosurgery, forming two groups, based on SBP higher or lower than 160 mmHg, the association of intracranial complications was identified using the chi-square and the likelihood of individual survival accumulated in the days of hospital stay with the Kaplan-Meier method was calculated by verifying Long Rank test statistical significance.
Conclusion:
In aASH Fisher IV as SBP greater than 160 mmHg is associated with rebleeding (p = 0.05) and lower survival (p = 0.04).
Keywords : Subarachnoid hemorrhage; subarachnoid hemorrhage morbidity and mortality; survival in SAH.