抄録
Introduction: The incidence of subarachnoid hemorrhage (SAH) has been reported as 6.0 to 10.9 per 100,000 people per year, for a total of 18,000 cases per year at United States. Medical complications also increase the mortality rates due to SAH. Nina J et al stated that the frequency of medical complications in SAH was 40% and that pulmonary complications was the most common non-neurologic cause of death. According to European Stroke Initiative (EUSI), early rehabilitation can prevent pneumonia and contracture and other immobilization-associated complications.Objective: The aim of this retrospective research is firstly to compare the difference between Japanese Hospital data and other countries in SAH post surgery patients. The second purpose is to compare some relationship between rehabilitation treatment and pulmonary complications in SAH. In resume we will try to find the frequency of pulmonary complications and the real effect of rehabilitation in SAH patients. Methods: The necessary results were obtained from scientific articles and hospital medical data. The patients selected were SAH post surgery and there was no limitation of age or sex. Their medical records were collected from the hospital admission to the discharge. Deaths and traumatic SAH patiens were excluded.Results: Medical articles showed a large evidence that pulmonary complications is a common event in SAH rating from 34% (Tokai Univ. Hospital) to 66% (UK). International data say that rehabilitation has to be started as soon as possible in acute phase of stroke patients, including SAH. According to investigated data, physical therapy still did not have relation with pulmonary complication (p=0.1050).Conclusion: We concluded that pulmonary complication has a large importance in SAH, but at this moment is was not possible to prone the real effect of physical therapy with the collected data.
