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: 雜誌貢獻文章同行評審


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

頁(從 - 到)186-190
期刊Acta Neurologica Taiwanica
出版狀態已發佈 - 2001

ASJC Scopus subject areas

  • 神經病學(臨床)


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