Abstract
We evaluate the results and complications of our intraventricular fibrinolysis protocol. A retrospective analysis was made of the cases of intraventricular hemorrhage with 13-bed Intensive Care Unit. Graeb score 6 or above subjected to intraventricular fibrinolysis. We gathered demographic parameters, clinical risk scores, tomography data and case histories showing neurological status and complications related to intraventricular treatment. The results between those who died and the survivors were compared. Intraventricular fibrinolysis was performed in 42 patients (69% males) with intraventricular hemorrhage. The average age was 58.36 years (SD 16.67), with a median APACHE II score of 17.5 (r 3-29). A total of 16.7% were receiving acenocoumarol, and 7.1% were on antiplatelet drugs. The median Glasgow Coma Score at the start of treatment was 8 (r 3-13). The median Graeb score was 9 (r 6-12), and was severe (Graeb 9-12) in almost 62%. In turn, 26.2% of the patients developed ventriculitis, and there was further bleeding in 7.1%. Death occurred in 50% of the cases. None of the analyzed variables were significantly related to increased mortality. In the 21 survivors, the Glasgow Outcome Score at 3 months was 2 in 23.8% of the case...Continue Reading
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Citations
May 18, 2018·The Journal of Craniofacial Surgery·Fei WangChaoshi Niu
Jul 15, 2020·Trials·Junhao ZhuChiyuan Ma
Jul 29, 2020·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Mais N Al-KawazWendy Ziai
May 24, 2020·Medicine·Matija SošićVlatka Sotošek
Oct 28, 2020·British Journal of Neurosurgery·Christophe JoubertArnaud Dagain