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Inventory of a Neurological Intensive Care Unit: Who Is Treated and How Long?

Backhaus R, Aigner F, Schlachetzki F, Steffling D, Jakob W, Steinbrecher A, Kaiser B, Hau P, Boy S, Fuchs K, Bogdahn U, Ritzka M - Neurol Res Int (2015)

Bottom Line: Results.Length of stay was 16.5 days in mean for ventilated and 3.6 days for nonventilated patient.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurology, University of Regensburg, 93053 Regensburg, Germany.

ABSTRACT
Purpose. To characterize indications, treatment, and length of stay in a stand-alone neurological intensive care unit with focus on comparison between ventilated and nonventilated patient. Methods. We performed a single-center retrospective cohort study of all treated patients in our neurological intensive care unit between October 2006 and December 2008. Results. Overall, 512 patients were treated in the surveyed period, of which 493 could be included in the analysis. Of these, 40.8% had invasive mechanical ventilation and 59.2% had not. Indications in both groups were predominantly cerebrovascular diseases. Length of stay was 16.5 days in mean for ventilated and 3.6 days for nonventilated patient. Conclusion. Most patients, ventilated or not, suffer from vascular diseases with further impairment of other organ systems or systemic complications. Data reflects close relationship and overlap of treatment on nICU with a standardized stroke unit treatment and suggests, regarding increasing therapeutic options, the high impact of acute high-level treatment to reduce consequential complications.

No MeSH data available.


Related in: MedlinePlus

Diagnostic procedures/patient.
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fig3: Diagnostic procedures/patient.

Mentions: In total, the 493 patients included in the analysis underwent 2107 diagnostic procedures (4.2/patient). Thereby, on average, nonventilated patients were submitted to 3.4 procedures, while ventilated patients underwent 5.4 procedures. The subgroup of nonventilated patients with neurodegenerative (mean 5.6), inflammatory (mean 4.5), and vascular diseases (mean 4.2) went through more procedures than average, contrary to patients with epilepsy (mean 2.8). Ventilated patients had an average of 5.4 diagnostics/patient, with the highest rates of diagnostic investigation in the group of patients with inflammatory (6.3) or epileptic (6.1) diseases as shown in Figure 3.


Inventory of a Neurological Intensive Care Unit: Who Is Treated and How Long?

Backhaus R, Aigner F, Schlachetzki F, Steffling D, Jakob W, Steinbrecher A, Kaiser B, Hau P, Boy S, Fuchs K, Bogdahn U, Ritzka M - Neurol Res Int (2015)

Diagnostic procedures/patient.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4495230&req=5

fig3: Diagnostic procedures/patient.
Mentions: In total, the 493 patients included in the analysis underwent 2107 diagnostic procedures (4.2/patient). Thereby, on average, nonventilated patients were submitted to 3.4 procedures, while ventilated patients underwent 5.4 procedures. The subgroup of nonventilated patients with neurodegenerative (mean 5.6), inflammatory (mean 4.5), and vascular diseases (mean 4.2) went through more procedures than average, contrary to patients with epilepsy (mean 2.8). Ventilated patients had an average of 5.4 diagnostics/patient, with the highest rates of diagnostic investigation in the group of patients with inflammatory (6.3) or epileptic (6.1) diseases as shown in Figure 3.

Bottom Line: Results.Length of stay was 16.5 days in mean for ventilated and 3.6 days for nonventilated patient.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurology, University of Regensburg, 93053 Regensburg, Germany.

ABSTRACT
Purpose. To characterize indications, treatment, and length of stay in a stand-alone neurological intensive care unit with focus on comparison between ventilated and nonventilated patient. Methods. We performed a single-center retrospective cohort study of all treated patients in our neurological intensive care unit between October 2006 and December 2008. Results. Overall, 512 patients were treated in the surveyed period, of which 493 could be included in the analysis. Of these, 40.8% had invasive mechanical ventilation and 59.2% had not. Indications in both groups were predominantly cerebrovascular diseases. Length of stay was 16.5 days in mean for ventilated and 3.6 days for nonventilated patient. Conclusion. Most patients, ventilated or not, suffer from vascular diseases with further impairment of other organ systems or systemic complications. Data reflects close relationship and overlap of treatment on nICU with a standardized stroke unit treatment and suggests, regarding increasing therapeutic options, the high impact of acute high-level treatment to reduce consequential complications.

No MeSH data available.


Related in: MedlinePlus