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Revista Habanera de Ciencias Médicas

On-line version ISSN 1729-519X


HERNANDEZ OLIVA, Mijail; PADRON MORA, Maidolys; HERNANDEZ JIMENEZ, Airón  and  NURQUEZ MERLAN, Adrián. Prognostic factors for mortality in patients with cerebrovascular disease in Intensive Care Units. Rev haban cienc méd [online]. 2018, vol.17, n.4, pp.567-578. ISSN 1729-519X.


Cerebrovascular diseases (CVD) are the second cause of mortality in the Western world, which are only surpassed by cardiovascular diseases and cancer.


To identify prognostic factors for mortality in patients admitted to Intensive Care Units with cerebrovascular diseases.

Material and Methods:

An observational, analytic, retrospective study was conducted in a population of 163 patients (deceased,73; and alive, 90).


The mean age was 64±13,9 (p=0,300). A total of 72(44, 2%) patients presented a complication, and 46(28, 2%) needed ventilation (p=0,000). The greater number of deceased resulted from hemorrhagic CVD 46(63%). Mortality in the ventilated patients was 83, 3%. The greater number of the 71 patients that presented complications died of respiratory sepsis, reporting 14(50%) patients. From the univariate analysis, the deceased patients presented an APACHE II≥ 15 (OR=10,4; p=0,000; CI 95%=4,9-21,7); a Glasgow scale ≤ 9 (OR=11,4; p=0,000; CI 95%=5,5-23,8); a hemorrhagic cerebrovascular disease (OR=3,9; p=0,000; CI 95%=2,1-7,7); and/or needed ventilation (OR=11,1; p=0,000; CI 95%=4,7-26,3). The multivariate analysis determined that the variables that were significantly related to mortality were the APACHE II ≥15 points (OR=4,4; p=0,001; CI 95%=1,9-10,2); and Glasgow ≤ 9 (OR=4,4; p=0,001; CI 95%=1,8-10,6).


The prognostic factors for mortality identified in the patients were the APACHE II ≥15 points at 24 hours after admission, and the Glasgow coma scale ≤ 9 points on admission. Pneumonia was the major complication in the deceased patients.

Keywords : Cerebrovascular diseases; prognostic factors; mortality; Intensive Care Unit; Cuba.

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