Prediction of the survival and functional ability of severe stroke patients after ICU therapeutic intervention

摘要: This study evaluated the benefits and impact of ICU therapeutic interventions on survival functional ability severe cerebrovascular accident (CVA) patients. Sixty-two patients suffering from ischemic/haemorrhagic stroke were for CVA severity using APACHE II Glasgow coma scale (GCS). Survival was determined Kaplan-Meier tables prediction factors by Cox multivariate analysis. Functional assessed (SIS-16) Karnofsky score. Risk factors, life support techniques neurosurgical recorded. One year post-CVA dependency investigated analysis based linear regression. The cohort constituted 6% all (37.8% haemorrhagic/62.2% ischemic) admissions. Patient mean(SD) age 65.8(12.3) years with a 1:1 male: female ratio. During period 16 had died within seven in following hospital release. score at admission 14.9(6.0) mean duration stay 11.2(15.4) days. Mechanical ventilation required 37.1% cases. ratios were; GCS 0.8(0.14), (p = 0.024), 1.11(0.11), 0.05) mechanical 1.07(0.07), 0.046). Linear coefficients were: type – haemorrhagic versus ischemic: -18.95(4.58) 0.007), admission: -6.83(1.08), 0.001), -0.38(0.14), 0.40). To ensure better prognosis require interventions. However, as we have shown, where tests can determine worst affected poor vital outcome should treatment be withheld?