Escala de Vasograde vs Fisher original como predictor de isquemia cerebral tardía en pacientes con hemorragia subaracnoidea aneurismática en el Hospital Clínica Alcívar entre el año 2015 - 2020.

Abstract

Late cerebral ischemia (CTI) is a frequent complication in patients suffering from subarachnoid hemorrhage, when it occurs it is associated with high rates of morbidity and mortality, increasing hospital stay and poor prognosis in these patients. Objective: Evaluate the relationship between the Vasograde scale vs the original Fisher scale as predictors of late cerebral ischemia. Materials and Methods: Descriptive, analytical, retrospective study of non-experimental design. Results: A total of 56 patients who presented a diagnosis of subarachnoid hemorrhage (SAH) were included, of which the majority belonged to the female gender (67.86%) and the group was between 50 and 70 years old (71.43%). , the Vasograde and Fisher scales constituted good predictive tools for the development of Late Cerebral Ischemia with a significant statistical value (p 0.001). Conclusions: Late cerebral ischemia as a complication had a prevalence of 44%, among the main factors associated with the development of SAH were hypertension (37.5%) and female sex (67.86%). Finally, for fisher and vasograde in the prediction of CTI, the moderate and yellow results predict the appearance of stroke in 12.5%, while for the severe and red they predict in 32.14%, which indicates that both are correlated.