3 résultat(s) recherche sur le mot-clé 'Hémorragie meningée'    

 trié(s) par (Pertinence décroissant(e), Titre croissant(e)) 

12/20 L’hémorragie sous-arachnoïdienne non traumatique [fiche : urgences] / Éric Bord in Soins gérontologie, Vol. 21, n° 120 (Juillet 2016)

[article]  inSoins gérontologie > Vol. 21, n° 120 (Juillet 2016) . - p. 47-48 Titre : 12/20 L’hémorragie sous-arachnoïdienne non traumatique [fiche : urgences] Type de document : Article Auteurs : Éric Bord ; Stéphanie Lorenzini ; Tanguy Riem ; Constantin Moraru Année de publication : 2016 Article en page(s) : p. 47-48 Langues : Français (fre) Mots-clés : Hémorragie meningée  Urgences  Anévrysme intracrânien Résumé : L’hémorragie sous-arachnoïdienne (HSA) est une issue de sang dans les espaces sous-arachnoïdiens. Il s’agit d’une urgence diagnostique et thérapeutique qui représente la deuxième cause d’accident vasculaire cérébral (AVC). La principale étiologie des HSA non traumatiques est l’anévrisme intracrânien. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=145016 [article]

Effect of an Evidence-Based Mobility Intervention on the Level of Function in Acute Intracerebral and Subarachnoid Hemorrhagic Stroke Patients on a Neurointensive Care Unit / Maxine L. Rand in Archives of Physical Medicine and Rehabilitation, 2015/7 (2015)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2015/7 (2015) . - p. 1191–1199 Titre : Effect of an Evidence-Based Mobility Intervention on the Level of Function in Acute Intracerebral and Subarachnoid Hemorrhagic Stroke Patients on a Neurointensive Care Unit Type de document : Article Auteurs : Maxine L. Rand ; Jeanne A. Darbinian Année de publication : 2015 Article en page(s) : p. 1191–1199 Langues : Anglais (eng) Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Durée du séjour ; Mobilité réduite ; Rééducation et réadaptation ; Unités de soins intensifs Mots-clés : Intensive Care Units  Length of stay  Mobility limitation  Stroke  Subarachnoid hemorrhage  Hémorragie meningée  Walking  Marche à pied Résumé : Objectives To explore the effect of an evidence-based mobility intervention on the level of function (LOF) achieved by patients with intracerebral hemorrhage (ICH) stroke and subarachnoid hemorrhage (SAH) stroke and to identify clinical characteristics and measures associated with walking distances >15.24m. Design Retrospective pre- and postintervention study. Setting Regional neurointensive care unit. Participants Adult patients with ICH and SAH (N=361). Intervention Daily mobility intervention based on patient's current LOF. Main Outcome Measure Walking >15.24m (LOF 5) by neurointensive care unit discharge. Results Electronic health records for 361 patients (52.6% women; mean age, 62.1y; ICH stroke, 63.2%; aphasia, 35%; hemiplegia, 33%) were included. There was a 2.3-fold increase in patients with hemorrhagic stroke achieving a LOF of 5 by neurointensive care unit discharge after introduction of a mobility intervention. In the multivariable logistic regression model including neurointensive care unit length of stay (LOS) as a covariate, the intervention, LOF of 5 at admission, SAH stroke type, third (vs lowest) quartile of neurointensive care unit LOS, and absence of aphasia and/or hemiplegia were associated with higher likelihood of achieving a LOF of 5 (odds ratio [OR]=5.28; 95% confidence interval [CI], 2.52–11.06; OR=6.02; 95% CI, 1.45–24.96; OR=3.78; 95% CI, 1.83–7.80; OR=2.94; 95% CI, 1.16–7.47; OR=17.77; 95% CI, 6.59–47.92, respectively). Conclusions A mobility intervention was strongly associated with increased distance walked by neurointensive care unit patients with acute hemorrhage at discharge and can be applied in any intensive care unit setting to promote stroke recovery. Future studies directed at building predictive models for walking achievement in patients with acute hemorrhagic stroke may provide insight into individualized treatment goal setting and discharge planning. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118346 [article]

Functional Independence: A Comparison of the Changes During Neurorehabilitation Between Patients With Nontraumatic Subarachnoid Hemorrhage and Patients With Intracerebral Hemorrhage or Acute Ischemic Stroke / Henriette Holm Stabel in Archives of Physical Medicine and Rehabilitation, 2017/4 (2017)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2017/4 (2017) . - pp. 759-765 Titre : Functional Independence: A Comparison of the Changes During Neurorehabilitation Between Patients With Nontraumatic Subarachnoid Hemorrhage and Patients With Intracerebral Hemorrhage or Acute Ischemic Stroke Type de document : Article Auteurs : Henriette Holm Stabel ; Asger Roer Pedersen ; Soren Paaske Johnsen Année de publication : 2017 Article en page(s) : pp. 759-765 Langues : Anglais (eng) Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Évaluation de résultat (soins) ; Rééducation et réadaptation Mots-clés : Activities of daily living  Outcome Assessment (Health Care)  Stroke  Subarachnoid hemorrhage  Hémorragie meningée Résumé : Objective To compare the changes in functional independence measured by the FIM after specialized neurorehabilitation between patients with nontraumatic subarachnoid hemorrhage (SAH) and patients with intracerebral hemorrhage (ICH) or acute ischemic stroke (AIS). Design Historical cohort study comparing changes in functional independence between patients with nontraumatic SAH and those with ICH/AIS, using FIM scores from a local database and clinical information from the Danish National Patient Registry. Setting Postacute specialized inpatient neurorehabilitation. Participants Participants (N=660) comprised patients with a first-time nontraumatic SAH (n=212) and age-matched patients with a first-time ICH/AIS (n=448). Interventions Not applicable. Main Outcome Measures Crude and adjusted comparisons of FIM (total and item by item) measured at baseline and at discharge. Results Patients with nontraumatic SAH were admitted with a lower functional level compared with patients with ICH/AIS (median total FIM score, 25 [interquartile range (IQR), 18–81] vs 78.5 [IQR, 47–107]), and discharged with a lower functional level (median total FIM score, 98 [IQR, 40–116] vs 110 [IQR, 82.5–119]), although they made more progress during neurorehabilitation (median change in total FIM score, 27 [IQR, 4–60] vs 17 [IQR, 7–35]). Statistically, patients with nontraumatic SAH had significantly better odds for obtaining functional independence than did patients with ICH/AIS in 6 of the 18 FIM items: eating (odds ratio [OR]=3.2; 95% confidence interval [CI], 1.7–5.8); dressing–upper body (OR=2.0; 95% CI, 1.1–3.5); transfer tub/shower (OR=2.0; 95% CI, 1.1–3.6); stair walking (OR=2.2; 95% CI, 1.3–3.7); comprehension (OR=2.3; 95% CI, 1.3–3.9); and expression (OR=3.6; 95% CI, 2.0–6.5). Conclusions Patients with nontraumatic SAH made significantly more progress during neurorehabilitation, although they were discharged with a lower level of functional independence compared with patients with ICH/AIS. However, both patients with nontraumatic SAH and those with ICH/AIS improved their functional outcome significantly. Also, patients with nontraumatic SAH admitted with severe functional outcome were shown to be capable of recovering to a moderate level of functional independence. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117778 [article]