Impact of neurological complications on subarachnoid hemorrhage

Introduction: Subarchnoid hemorrhage (SAH) constitutes a severe neurological emergency associated with high morbidity and mortality. Represents 5% of strokes. Its forecast varies according to its etiology, initial severity snd appearance of secondary complications.Aim: Characterize the epidemiological and clinical profile of patients with subarachnoid hemorrhage at the Dr. Miguel Enríquez hospital.Methods: an observacional, descriptive and retrospective study was carried out at the Dr. Miguel Enriquez Surgical Hospital from January 2022 to December 2024. The qualitative variables were summarized in absolute frequencies and percentages. The quantitative variables in mean and standard deviation. To evaluate the association between qualitative variables, Fisher's exact test was applied.Results: a total of 67 patients with a diagnosis of subarachnoid hemorrhage were evaluated. The average age was 59 years (SD= 18.2). The average of the Glasgow scale in the sample studied was 11.2 (SD= 4.87). Seizures (31.3%) predominated. The most frequent non – neurological complication was bacterial bronchopneumonia (49.3%). The analysis of the association between mortality and neurological complications revealed that the rebleeding (p< 0.001) and the severe Glasgow (p< 0.001) presented a statistically significant relationship with a higher risk of mortality.Conclusions: the identification of factors associated with mortality is key and allows to prioritize early evaluation strategies aimed at the prevention of complications.