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Volume 14
Issue 9
10.3390/jcm14093090
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Review

Comparison of Outcomes Among Neurovascular Patients Managed in Dedicated Neurological Intensive Care Units vs. General Intensive Care Units

by
Joanna M. Roy
1,
Basel Musmar
1,
Nassos Tziviskos
2,
Saarang Patel
3,
Roberto DeLeon
4,
Ashley Thommana
5,
Shady Mina
1,
Stavropoula I. Tjoumakaris
1,
Michael. Reid Gooch
1,
Robert H. Rosenwasser
1 and
Pascal M. Jabbour
1,*
1
Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA
2
School of Medicine, Rowan-Virtua School of Osteopathic Medicine, Stratford, NJ 08084, USA
3
Seton Hall University, South Orange, NJ 07079, USA
4
Syracuse University, Syracuse, NY 13244, USA
5
Pennsylvania State University, Hershey, PA 17033, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2025, 14(9), 3090; https://doi.org/10.3390/jcm14093090 (registering DOI)
Submission received: 18 March 2025 / Revised: 20 April 2025 / Accepted: 25 April 2025 / Published: 29 April 2025
(This article belongs to the Special Issue Neurocritical Care: Clinical Advances and Practice Updates)
Versions Notes

Abstract

Background/Objectives: Patients with neurovascular conditions often require multidisciplinary management to optimize recovery. Our systematic review identifies literature comparing outcomes among neurovascular patients managed at dedicated neurological intensive care units (ICUs) compared to general ICUs. Methods: PubMed was searched to identify articles that reported outcomes among patients managed at dedicated neurological ICUs versus general ICUs. Articles that reported outcomes among patients with neurovascular conditions were included. Articles that reported outcomes among patients managed at stroke units were excluded. The Newcastle Ottawa Scale (NOS) was used to assess for risk of bias across individual studies. Results: After a title and abstract screen followed by a full-text review, seven studies met criteria for inclusion. These studies reported outcomes among patients managed for intracerebral hemorrhage (ICH), acute ischemic stroke (AIS) and aneurysmal subarachnoid hemorrhage (aSAH). Two studies reported lower mortality, improved functional outcome and reduced costs among patients with ICH who were managed at dedicated neurological ICUs. Among patients with aSAH, only less-severe cases experienced better functional outcome after management at dedicated neurological ICUs. Six out of seven studies were considered high quality. Conclusions: Our review highlights the potential benefits of receiving care at dedicated neurological ICUs, as evidenced by lower mortality, improved functional outcome and reduced costs in patients with ICH and low-grade aSAH. However, future research is necessary to clarify whether dedicated neurological ICU care confers significant advantage over general ICUs among patients with AIS and other neurovascular conditions.
Keywords: general intensive care unit; intracerebral hemorrhage; neurocritical care; neurological intensive care unit; stroke general intensive care unit; intracerebral hemorrhage; neurocritical care; neurological intensive care unit; stroke

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MDPI and ACS Style

Roy, J.M.; Musmar, B.; Tziviskos, N.; Patel, S.; DeLeon, R.; Thommana, A.; Mina, S.; Tjoumakaris, S.I.; Gooch, M.R.; Rosenwasser, R.H.; et al. Comparison of Outcomes Among Neurovascular Patients Managed in Dedicated Neurological Intensive Care Units vs. General Intensive Care Units. J. Clin. Med. 2025, 14, 3090. https://doi.org/10.3390/jcm14093090

AMA Style

Roy JM, Musmar B, Tziviskos N, Patel S, DeLeon R, Thommana A, Mina S, Tjoumakaris SI, Gooch MR, Rosenwasser RH, et al. Comparison of Outcomes Among Neurovascular Patients Managed in Dedicated Neurological Intensive Care Units vs. General Intensive Care Units. Journal of Clinical Medicine. 2025; 14(9):3090. https://doi.org/10.3390/jcm14093090

Chicago/Turabian Style

Roy, Joanna M., Basel Musmar, Nassos Tziviskos, Saarang Patel, Roberto DeLeon, Ashley Thommana, Shady Mina, Stavropoula I. Tjoumakaris, Michael. Reid Gooch, Robert H. Rosenwasser, and et al. 2025. "Comparison of Outcomes Among Neurovascular Patients Managed in Dedicated Neurological Intensive Care Units vs. General Intensive Care Units" Journal of Clinical Medicine 14, no. 9: 3090. https://doi.org/10.3390/jcm14093090

APA Style

Roy, J. M., Musmar, B., Tziviskos, N., Patel, S., DeLeon, R., Thommana, A., Mina, S., Tjoumakaris, S. I., Gooch, M. R., Rosenwasser, R. H., & Jabbour, P. M. (2025). Comparison of Outcomes Among Neurovascular Patients Managed in Dedicated Neurological Intensive Care Units vs. General Intensive Care Units. Journal of Clinical Medicine, 14(9), 3090. https://doi.org/10.3390/jcm14093090

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