Neurocritical Care

, Volume 5, Issue 2, pp 115–119 | Cite as

Pulmonary complications after intracerebral hemorrhage

  • Boby Varkey Maramattom
  • Stephen Weigand
  • Megan Reinalda
  • Eelco F. M. Wijdicks
  • Edward M. Manno
Original Article

Abstract

Objective

There are no data on pulmonary complications in an selected population of patients with intracerebral hemorrhages (ICH). At present, most data is extrapolated from series of patients with stroke that combine patients with both ischemic and hemorrhagic strokes. The purpose of this study was to determine the frequency, types of pulmonary complications in patients with ICH; their association with clinical variables, and contribution to hospital stay.

Materials and Methods

A total of 144 consecutive patients with ICH between January 1999 and October 2003 were analyzed for pulmonary complications such as pneumonia, pulmonary edema, pulmonary embolism, or miscellaneous complications.

Results

Overall, 41 patients (28%, 95% confidence interval, 22,36%) developed pulmonary complications. The most common events were pneumonia (19%) and pulmonary edema (8%). Complications were most often encountered immediately after the onset of ICH (63% detected on the day of admission). Pulmonary complications lengthened the duration of hospital stay among survivors.

Conclusions

Our study provides data on pulmonary complications after acute ICH. Almost one-third of patients with ICH develop pulmonary complications. Pulmonary complications increased morbidity, mortality, and duration of hospital stay. Aggressive management of these complications can potentially reduce the morbidity, mortality, duration of hospital stay, and financial expenditure incurred in this group of patients.

Key Words

Pulmonary complications intracerebral hemorrhage neurogenic pulmonary edema aspiration pneumonia stroke pneumonia 

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References

  1. 1.
    Aslanyan S, Weir CJ, Diener HC, Kaste M, Lees KR, The GAIN International Steering Committee and Investigators. Pneumonia and urinary tract infection after acute ischaemic stroke: a tertiary analysis of the GAIN International trial. Eur J Neurol 2004; 11:49–53.PubMedCrossRefGoogle Scholar
  2. 2.
    Teasell RW, McRae M, Marchuk Y, Fiinestone HM. Pneumonia associated with aspiration following stroke. Arch Phys Med Rehabil 1996;77:707–709.PubMedCrossRefGoogle Scholar
  3. 3.
    Adnet F, Baud F. Relation between Glasgow Coma Scale and aspiration pneumonia. Lancet 1996;348:123–124.PubMedCrossRefGoogle Scholar
  4. 4.
    Nakagawa T, Sekizawa K, Arai H, Kikuchi R, Manabe K, Sasaki H. High incidence of pneumonia in elderly patients with basal ganglia infarction. Arch Intern Med 1997;157:321–324.PubMedCrossRefGoogle Scholar
  5. 5.
    Teasell R, Foley N, Fisher J, Finestone H. The incidence, management, and complications of dysphagia in patients with medullary strokes admitted to a rehabilitation unit. Dysphagia 2002; 17:115–120.PubMedCrossRefGoogle Scholar
  6. 6.
    Wijdicks EF, Scott JP. Pulmonary embolism associated with acute stroke. Mayo Clin Proc 1997;72:297–300.PubMedCrossRefGoogle Scholar
  7. 7.
    Bounds JV, Wiebers DO, Whisnant JP, Okazaki H. Mechanisms and timing of deaths from cerebral infarction. Stroke 1981; 12:474–477.PubMedGoogle Scholar
  8. 8.
    Kelly J, Hunt BJ, Lewis RR, Rudd A. Anticoagulation or inferior vena cava filter placement for patients with primary intracerebral hemorrhage developing venous thromboembolism? Stroke 2003;34:2999–3005, 2003.PubMedCrossRefGoogle Scholar

Copyright information

© Humana Press Inc 2006

Authors and Affiliations

  • Boby Varkey Maramattom
    • 1
  • Stephen Weigand
    • 2
  • Megan Reinalda
    • 2
  • Eelco F. M. Wijdicks
    • 1
  • Edward M. Manno
    • 1
  1. 1.Division of Critical Care NeurologyMayo ClinicRochester
  2. 2.Department of BiostatisticsMayo ClinicRochester

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