Iranian Journal of Neurosurgery (Oct 2018)
Complications of Subarachnoid Hemorrhage in Patients Admitted to Imam Khomeini Hospital in Urumia
Abstract
Background and Aim: Secondary complications management of Subarachnoid Hemorrhage (SAH) is one of the therapeutic challenging issues during Intensive Care Unite (ICU) admission. The complications of patients with SAH admitted to the ICU of Imam Khomeini Hospital of Urumia were investigated in this study. Methods and Materials/Patients: In this descriptive study, the clinical complications of the patients with SAH admitted to ICU including anemia, fever, hyperglycemia, hypertension, electrolyte imbalance, and cardiac arrhythmia were collected from their medical records within a 7-year period. The collected data were analyzed using Chi-squared test and t-test by SPSS. Results: In total, 483 records of patients with SAH were explored. Moreover, 183 (37.9%) samples had anemia, 174 (36%) suffered from fever, 204 (42.2%) patients were diagnosed with hypertension. A total of 111 (23%) patients had hyperglycemia, 54 (11.2%) individuals suffered from sodium disorders. Additionally, 131 (27.1%) individuals had cardiac arrhythmias. Conclusion: The obtained results suggested that the most prevalent complications following SAH are hypertension, anemia and fever. Furthermore, there was a significant correlation between cardiac arrhythmias, as well as sodium and hyperglycemia disorders, and the treatment outcome of patients. Patients admitted to ICU should be under intensive care to reduce the mortality rate associated with SAH.