Elevated premorbid body mass index is not associated with poor neurological outcome in the subacute state after aneurysmal subarachnoid hemorrhage.

Central European Neurosurgery Pub Date : 2010-11-01 Epub Date: 2010-04-06 DOI:10.1055/s-0030-1249043

S M Kagerbauer, D M Kemptner, C P Schepp, S Bele, R-D Rothörl, A T Brawanski, K-M Schebesch

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引用次数: 21

Abstract

Background: An elevated body mass index (BMI) is suggested to be a risk factor for a poor outcome after intracranial aneurysm rupture and is considered to be associated with cerebral infarction in patients with aneurysmal subarachnoid hemorrhage (SAH). The aim of this study was to analyze the association between permorbid BMI and neurological outcome.

Methods: In this retrospective study, the patients' BMI at the time of their admission to hospital was correlated to their neurological outcome as measured by the Glasgow outcome score after two weeks and two months of treatment.

Results: In contrast to other studies, there were no significant correlations between premorbid BMI and neurological outcome, shunt requirement, tracheotomy requirement and duration of stay on the intensive care unit (ICU).

Conclusions: Overweight patients have no higher risk of a poor neurological outcome after aneurysmal SAH if premorbid risk factors such as hypertension and hyperglycemia are carefully modified throughout the period of critical care.

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动脉瘤性蛛网膜下腔出血后亚急性状态下，病前体重指数升高与神经预后不良无关。

背景:身体质量指数(BMI)升高被认为是颅内动脉瘤破裂后预后不良的危险因素，并且被认为与动脉瘤性蛛网膜下腔出血(SAH)患者的脑梗死有关。本研究的目的是分析病态BMI与神经预后之间的关系。方法:在这项回顾性研究中，患者入院时的BMI与治疗两周和两个月后通过格拉斯哥预后评分测量的神经系统预后相关。结果:与其他研究相比，病前BMI与神经预后、分流术需求、气管切开术需求和重症监护病房(ICU)住院时间无显著相关性。结论:如果在危重监护期间仔细改变高血压和高血糖等病前危险因素，超重患者动脉瘤性SAH后神经系统预后不良的风险不会增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Central European Neurosurgery CLINICAL NEUROLOGY-NEUROSCIENCES

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>12 weeks