Clinical Characteristics and Outcomes of Patients with Aneurysmal Subarachnoid Hemorrhage: A Prospective Multicenter Study in a Middle-Income Country

Gonçalves, Bruno; Rynkowski, Carla Bittencourt; Turon, R; Charris, Nestor; Miranda, Fábio Demolinari de; de, Vanessa; Prazeres, Marco; Santos, Thayana; Greer, David M.; Sharshar, Tarek; Turc, Guillaume; Bozza, Fernando A.; Righy, Cássia; Kurtz, Pedro

doi:10.1007/s12028-022-01629-6

Cited by 5 publications

(2 citation statements)

References 39 publications

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“…11,12 However, despite the increasing reliance on endovascular procedures, their limited availability in low-to-middleincome countries may represent a barrier to optimizing patients' treatment. [13][14][15] In the modern area, microsurgery can remain the treatment of choice in settings with limited availability of endovascular devices. Our institution, "Hospital Nacional Dos de Mayo," located in Lima, Peru, is an important referral center within the Ministry of Health network, offering highly complex microsurgical treatment to patients of low-income backgrounds nationwide.…”

Section: Introductionmentioning

confidence: 99%

When microsurgery becomes the only lifesaving resource: An institutional experience treating patients from low-income backgrounds affected by posterior circulation brain aneurysms

Acha Sánchez,

Bocanegra-Becerra,

Contreras Montenegro

et al. 2024

Journal of Clinical Neuroscience

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Section: Introductionmentioning

confidence: 99%

When microsurgery becomes the only lifesaving resource: An institutional experience treating patients from low-income backgrounds affected by posterior circulation brain aneurysms

Acha Sánchez,

Bocanegra-Becerra,

Contreras Montenegro

et al. 2024

Journal of Clinical Neuroscience

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“…These infections can affect patient outcomes and increase mortality rates in critically ill patients. In addition, these infections increase the costs placed on healthcare systems ( 12 , 13 ).…”

Section: Introductionmentioning

confidence: 99%

Lower respiratory tract infections due to multi‑drug resistant pathogens in central nervous system injuries (Review)

et al. 2023

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Pneumonia is one of the most prevalent infections in the intensive care unit (ICU), where pneumonia may occur during hospitalization in the ICU as a complication. ICU patients with central nervous system (CNS) injuries are not an exception, and they may even be more susceptible to infections such as pneumonia due to issues such as swallowing difficulties, the requirement for mechanical ventilation, and extended hospital stay. Numerous common CNS injuries, such as ischemic stroke, traumatic brain injury, subarachnoid hemorrhage, and intracerebral hemorrhage, can prolong hospital stay and increase the risk of pneumonia. Multidrug-resistant (MDR) microorganisms are a common and significant concern, with increased mortality in nosocomial pneumonia. However, research on pneumonia due to MDR pathogens in patients with CNS injuries is limited. The aim of the present review was to provide the current evidence regarding pneumonia due to MDR pathogens in patients with CNS injuries. The prevalence of pneumonia due to MDR pathogens in CNS injuries differs among different settings, types of CNS injuries, geographical areas, and time periods in which the studies were performed. Specific risk factors for the emergence of pneumonia due to MDR pathogens have been identified in ICUs and neurological rehabilitation units. Antimicrobial resistance is currently a global issue, although using preventive measures, early diagnosis, and close monitoring of MDR strains may lessen its impact. Since there is a lack of information on these topics, more multicenter prospective studies are required to offer insights into the clinical features and outcomes of these patients.

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Impact of Medical and Neurologic Complications on the Outcome of Patients with Aneurysmal Subarachnoid Hemorrhage in a Middle-Income Country

Vasconcellos de Oliveira Souza,

Rouanet,

Fontoura Solla

et al. 2024

World Neurosurgery

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Clinical Characteristics and Outcomes of Patients with Aneurysmal Subarachnoid Hemorrhage: A Prospective Multicenter Study in a Middle-Income Country

Cited by 5 publications

References 39 publications

When microsurgery becomes the only lifesaving resource: An institutional experience treating patients from low-income backgrounds affected by posterior circulation brain aneurysms

When microsurgery becomes the only lifesaving resource: An institutional experience treating patients from low-income backgrounds affected by posterior circulation brain aneurysms

Lower respiratory tract infections due to multi‑drug resistant pathogens in central nervous system injuries (Review)

Impact of Medical and Neurologic Complications on the Outcome of Patients with Aneurysmal Subarachnoid Hemorrhage in a Middle-Income Country

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