The one-year case registry in a neurological intensive care unit

W. H. Chen, J. H. Yeh, L. M. Lien, H. M. Shen, H. C. Chiu

研究成果: 雜誌貢獻文章

摘要

The critical care of patients with neurological diseases is one of the fastest growing specialties in neurology. However, only a few hospitals have neurological intensive care units (neuro-ICUs) dedicated to neurological care and directed by neurologists. We analyzed the demographic data and clinical profiles of patients admitted to neuro-ICUs at the Shin Kong Wu Ho-Su Memorial Hospital (SKH) to provide the basic information of the current status of neuro-ICUs in Taiwan. We reviewed the prospective register and retrospective review of patients admitted to the neuro-ICU at SKH from November 1999 through November 2000. There were 230 patients (115 males and 115 females) and their ages ranged from 19 to 100 with a mean of 63.4 years. The indications for admission to the neuro-ICU included impaired consciousness for 118 (51.3%) patients, unstable neurological signs or vital signs for 63 (27.4%), neuromuscular weakness requiring ventilator support for 14 (6.1%), status epilepticus for 14 (6.1%), acute ischemic stroke for thrombolytic therapy for seven (3.0%) and others for 12 (5.2%). The most common diagnoses were hemispheric infarcts for 55 (24.0%) patients, brain stem and cerebellar infarcts for 35 (15.2%), intracerebral hemorrhages for 32 (13.9%), metabolic and other diffuse encephalopathies for 18 (7.8%), head injuries for 15 (6.5%), myasthenia gravis for 13 (5.6%), and CNS infections for 10 (4.3%). The mean ICU stay for all the patients was 9.3 days and the mortality rate was 19.1%. The most common complication was pneumonia for 95 (41.3%) patients, followed by urinary tract infections for 45 (19.6%) and sepsis for 13 (5.6%). Patients with complications of nosocomial infections had higher mortality rates (p

原文英語
頁(從 - 到)186-190
頁數5
期刊Acta Neurologica Taiwanica
10
發行號3
出版狀態已發佈 - 2001
對外發佈Yes

ASJC Scopus subject areas

  • Clinical Neurology

指紋 深入研究「The one-year case registry in a neurological intensive care unit」主題。共同形成了獨特的指紋。

  • 引用此

    Chen, W. H., Yeh, J. H., Lien, L. M., Shen, H. M., & Chiu, H. C. (2001). The one-year case registry in a neurological intensive care unit. Acta Neurologica Taiwanica, 10(3), 186-190.