La Sociedad Española de Neurocirugía ha premiado con una bolsa de viaje al Dr. Javier de la Cruz Sabido (Hospital Universitario Virgen de las Nieves) tras conseguir el mayor porcentaje de preguntas acertadas durante el curso interactivo “Actualización y Evidencias en Cirugía de Raquis” celebrado recientemente en Alicante.
Adult patients with primary diagnosis of nontraumatic intracerebral hemorrhage requiring ventriculostomy from the Nationwide Inpatient Sample from 2002 to 2011, compared demographics and hospital characteristics, comorbidity, inpatient outcomes, and resource utilization measures between patients treated with IVT and those managed with ventriculostomy, but without IVT. Population estimates were extrapolated using standard Nationwide Inpatient Sample weighting algorithms.
34044 patients in the analysis, of whom 1133 (3.3%) received IVT. The thrombolysis group had significantly lower inpatient mortality (32.4% versus 41.6%; P=0.001) and it remained lower after controlling for baseline demographics, hospital characteristics, comorbidity, case severity, and withdrawal of care status (adjusted odds ratio, 0.670; 95% confidence interval, 0.520-0.865; P=0.002). There was a trend toward favorable discharge (home or rehabilitation) among the thrombolysis cohort (adjusted odds ratio, 1.335; 95% confidence interval, 0.983-1.812; P=0.064). The adjusted rates of bacterial meningitis and ventricular shunt placement were similar between groups. The thrombolysis group had longer length of stay and higher inflation-adjusted cost of care, but cost of care per day length of stay was similar to the non-IVT group.
IVT for intracerebral hemorrhage requiring ventriculostomy resulted in lower inpatient mortality and a trend toward favorable discharge outcome with similar rates of inpatient complications compared with the non-IVT group 1).
Master Techniques in Otolaryngology – Head and Neck Surgery: Skull Base Surgery
By Carl Snyderman, Paul Gardner
ADD TO SHOPPING CART
This new volume in the MTOS – Head and Neck Surgery Series edited by Eugene Myers, MD presents both the common and advanced procedures in skull base surgery and appeals to both the specialist and the generalist. It covers over 45 procedures and describes both open and minimally invasive approaches to the skull base.
Authors are world renowned experts in the field
Comprehensive coverage of open and minimally invasive techniques
Edited by pioneers and leaders in the development of the endoscopic endonasal approach
Each chapter follows a tightly designed format with a focus on “how to do it”
Includes step-by-step instructions for each procedure
Each technique is extensively supplemented with over 1500 color intraoperative photographs and line drawings
- Published on: 2014-09-29