PT -期刊文章盟-杰米LaBuzetta盟辛西娅·冈萨雷斯盟Josh Duckworth AU -布莱恩Lemkuil盟Anushirvan Minokadeh AU - Navaz李东华TI -结果在蛛网膜下腔出血后引入neurocritical保健服务(P3.106) DP - 2015年4月06 TA -神经病学PG - P3.106 VI - 84 IP - 14补充4099 - //www.ez-admanager.com/content/84/14_Supplement/P3.106.short 4100 - http://n.ne首页urology.org/content/84/14_Supplement/P3.106.full所以Neurology2015 4月06;84 AB -目的:我们的目的是确定是否引进专用Neurocritical保健服务(nc)提高非创伤性蛛网膜下腔出血患者预后。背景:蛛网膜下腔出血(SAH)病死率居高不下,尽管改善治疗。此外,大于25 [percnt]的潜在寿命年损失通过中风相关长官。这些患者需要积极,密集,multispecialty和多学科优化结果。不幸的是并不是所有的医院都有能力提供这种级别的护理。在我们的机构,Neurocritical保健服务开始在有执照的指导下neurointensivist 2012年1月。设计/方法:前瞻性收集的数据回顾了。UHC数据库为加州大学圣地亚哥了识别所有非创伤性蛛网膜下腔出血患者4/1/2011和9/15/2014之间。基本的人口统计数据提取。 Outcome variables included absolute intensive care unit (ICU) and hospital lengths of stay (LOS), observed/expected LOS, absolute and observed/expected mortality, and discharge destination. Outcomes prior to the introduction of a neurocritical care service (“before”) were compared with outcomes after the NCS began 1/1/2012 (“after”). RESULTS: 57 cases (2.7 cases/month) of SAH before and 115 cases (3.5 cases/month) after the introduction of the neurocritical care service were reviewed. Mean age was similar; however, males constituted 33[percnt] of the patient population before compared with 53[percnt] after (p=0.01). More than twice as many patients arrived via transfer from another facility after the NCS began (38[percnt] versus 15[percnt]). Average LOS improved from 22.6 days (before) to 15.6 days (after), p=0.04. Observed/expected LOS improved from 1.46 to 1.00 (p=0.03). Absolute mortality rates and observed/expected mortality rates were similar. Discharge destination was comparable. CONCLUSION: At our institution, we saw improvements in absolute and observed/expected LOS, as well as an increase in volume of patients after a neurocritical care service was established.Disclosure: Dr. LaBuzetta has nothing to disclose. Dr. Gonzalez has nothing to disclose. Dr. Duckworth has nothing to disclose. Dr. Lemkuil has nothing to disclose. Dr. Minokadeh has nothing to disclose. Dr. Karanjia has nothing to disclose.Tuesday, April 21 2015, 2:00 pm-6:30 pm