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High In-Hospital Mortality Incidence Rate and Its Predictors in Patients with Intracranial Hemorrhage Undergoing Endotracheal Intubation

Neurology international, 2021-12, Vol.13 (4), p.671-681 [Peer Reviewed Journal]

2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2021 by the authors. 2021 ;ISSN: 2035-8385 ;ISSN: 2035-8377 ;EISSN: 2035-8377 ;DOI: 10.3390/neurolint13040064 ;PMID: 34940750

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  • Title:
    High In-Hospital Mortality Incidence Rate and Its Predictors in Patients with Intracranial Hemorrhage Undergoing Endotracheal Intubation
  • Author: Vo, Hong-Khoi ; Nguyen, Cong-Hoang ; Vo, Hoang-Long
  • Subjects: Bells palsy ; Blood pressure ; Dysphagia ; endotracheal intubation ; Glasgow Coma Scale ; Health facilities ; Hematoma ; Hemorrhage ; Hospitals ; Hyperglycemia ; Hypernatremia ; Hyponatremia ; in-hospital mortality ; intracranial hemorrhage ; Intubation ; Laboratories ; Medical imaging ; Medical prognosis ; Mortality ; Patients ; Pneumonia ; Stroke ; Tomography ; Variables
  • Is Part Of: Neurology international, 2021-12, Vol.13 (4), p.671-681
  • Description: (1) Background: The goal of this study was to determine the incidence of in-hospital mortality and to investigate its predictors in patients with a primary intracranial hemorrhage (ICH) undergoing endotracheal intubation. (2) Methods: This retrospective study, between July 2018 to July 2019, recruited patients who were diagnosed with a primary ICH and who were intubated during treatment in our institution. The outcome variable was in-hospital mortality, known as 30-day mortality, in patients with ICH undergoing endotracheal intubation. Multivariable analyses were performed to identify the prediction of in-hospital mortality. (3) Results: A total of 180 patients with ICH undergoing endotracheal intubation were included, with a mean (SD) age of 62.64 (13.82) years. A total of 73.33% were female, and 71.11% of the patients were indicated for intubation due to neurological reasons. The in-hospital mortality rate, following endotracheal intubation, was 58.33%. In a reduced model using a stepwise backward selection strategy with values < 0.2, independent predictors of in-hospital mortality were brain herniations on cranial CT scans (OR: 10.268, 95% CI: 2.749-38.344), lower Glasgow coma scale (CGS) scores before intubation (OR: 0.614, 95% CI: 0.482-0.782), and the loss of the vertical oculocephalic reflex before intubation (OR: 6.288, 95% CI: 2.473-15.985). Conclusions: The in-hospital mortality rate was comparable to that in the early evidence, but was significantly higher compared to recent reports. We infer that brain herniations on cranial CT imaging, lower CGS scores before intubation, and the loss of the vertical oculocephalic reflex before intubation could be used to approximately predict in-hospital mortality in patients with primary ICH undergoing endotracheal intubation. These considerations can help guide clinical decisions and community stroke discussions.
  • Publisher: Italy: MDPI AG
  • Language: English
  • Identifier: ISSN: 2035-8385
    ISSN: 2035-8377
    EISSN: 2035-8377
    DOI: 10.3390/neurolint13040064
    PMID: 34940750
  • Source: ProQuest One Psychology
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