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To compare the incident,indication,and timing of intubation and outcome in patients with cerebral infarction(SCH)and intracerebral hemorrhage(HEM) requiring mechanical ventilation(MV).A total of 320 patients,74 with ISCH and 156 with HEM(mean age of 61+/-16 years,male-to-female ratio,1:15:1) underwent MV.Intubation rates were 6%for SICH patients and 30%for HEM patients.Two-thirds of the patients required intubation on presentation (84%were intubated for neurologic deterioration)and 131 patients(57%)died (ISCH 55%,HEM 58%).Signs of brainstem dysfunction predicted a higher mortality for both groups.Additionally,early intubation and older age predicted mortality for HEM,and male general predicted mortality in ISCH. Stroke location and comorbidities did not influence outcome.MV in acute stroke is associated with high mortality.Mortality and outcome were similar to ISCH and HEM;however,the factors predictive of outcome may differ and influence decisions about the use of MV in such patients. |
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