医学
冲程(发动机)
神经血管束
死因
缓和医疗
队列
败血症
队列研究
肺炎
外科
内科学
疾病
机械工程
工程类
护理部
作者
Henning Nagel,João Renato Rebello Pinho,D. Hasan,Hani Ridwan,Pardes Habib,Jörg B. Schulz,Martin Wiesmann,Adam Reich,Omid Nikoubashman
出处
期刊:American Journal of Neuroradiology
[American Society of Neuroradiology]
日期:2022-08-11
卷期号:43 (9): 1299-1303
摘要
Because stroke therapy has changed with the introduction of endovascular stroke treatment as a standard approach, studies on intrahospital causes of death from stroke are no longer up-to-date. The purpose of this observational study was to present the causes of death during hospitalization of patients with ischemic stroke who received endovascular stroke treatment, with the focus on a differentiation of curative and secondary palliative treatment.We studied a total cohort of 1342 patients who received endovascular stroke treatment in a tertiary stroke center (Aachen, Germany) between 2010 and 2020 and analyzed the causes of death in all 326 consecutive deceased patients. We distinguished between curative treatment and a secondary palliative approach and analyzed causes of death and treatment numbers across the years.In the entire cohort of 326 deceased patients, the most common cause of death was of a cerebrovascular nature (51.5%), followed by pneumonia and sepsis (25.8%) and cardiovascular causes (8.3%). Neurovascular causes constituted 75.8% of reasons for palliation. In the group with a secondary palliative approach, causes of death were neurovascular in 54.0% of patients and pneumonia and sepsis in 26.0% of patients.Cerebrovascular causes in patients with stroke play a major role in the intrahospital causes of death and reasons for palliation. Considering the large proportion of secondarily palliative-treated patients, reasons for palliation should be considered instead of causes of death to avoid concealment by, for example, life-terminating measures.
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