Effect of Craniotomy on the Use of Mechanical Ventilation and Lenght of Intensive Care on Hemorrhagic Stroke Patients in the Intensive Care Unit (ICU) at Persahabatan Hospital

· Critical Care

Cahyo M, Nazarudin A, Rasmin M, Prasenohadi, Sidharta IDK, Wulung NGHML, Khumar R. J Respir Indones. 2012;32(2):100-3.


Introduction: Hemorrhagic stroke is common medical problem in elderly, and contribute to high mortality rate. Craniotomy is standard brain surgery to evacuate blood clot to decrease intracranial pressure and complication of the disease.
Methods: Design of this study is retrospective study using medical record of patient with diagnosed of hemorrhagic stroke using mechanical ventilation since January-December 2011 in ICU Persahabatan Hospital. This study is conducted to know impact of craniotomy to patient outcomes; length of stay in ICU, length of mechanical ventilation, and survival patients.
Results: There are totally 11 patient that diagnosed of hemorragic stroke and all paients using mechanical ventilation for certain periods, from these patients only 4 conducted craniotomy. Of 4 patients who was performed craniotomy, 2 patients transfered to common ward, 1 patient forced discharge and 1 patents was died that to septic shock. Mean length of stay from these patients was 13 days. While 7 patient that was not conducted craniotomy, 4 patients was died and 3 patients transfered to common ward. Mean length of stay from these patients was 8 days.
Conclusion: Length of stay in ICU and duration of mechanical ventilation not only depend from craniotomi, but also depend from severity of illness and complication. Craniotomy can be considered to standard surgical therapy that can decrease mortality rate of hemorrhagic stroke patients.

Keywords: hemorrhagic stroke, craniotomy, length of stay in ICU, length using mechanical ventilation, mortality rate.

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