Ikeda Kazumi, Ikeda Toshiaki, Suzuki Hiramitsu, Taniuchi Hitoshi, Nagura Masatoshi, Ooshima Kazutaka
Division of Critical Care and Emergency Medicine, Hachioji Medical Center of Tokyo Medical University, Tokyo, Japan.
Med Sci Monit. 2003 Feb;9(2):CR43-7.
The aim of this study was to evaluate the value of measurement of colloid osmotic pressure (COP) directly concerned with cerebral vasospasm following subarachnoid hemorrhage (SAH).
MATERIAL/METHODS: The subjects were 20 patients who received clipping operation within 48 hours after onset. We conducted a two weeks monitoring of COP measured directly by osmometer and evaluated serum concentrations of albumin at the same time. We divided the patients into Group A (angiographical vasospasm +) and Group B (spasm -) according to the angiographical findings. The differences of the data between the groups were analyzed by ANOVA test (p<0.05). Furthermore, the correlations between the serum concentrations of albumin and COP levels were estimated.
Vasospasm was angiographically confirmed in 10 of the 20 patients. Significant decrease of COP levels was observed from day 7 until day 11 and significant decrease of albumin was observed on day 6 and from day 8 until day 11 in the Group A. We did not observe any significant change of COP and albumin levels in the Group B. A liner analysis was performed and a significant correlation was determined between the COP levels and albumin in the Group A, but we did not observe significant correlation between them in the Group B.
These results showed that a significant decrease of COP levels indicate the occurrence of cerebral vasospasm. We concluded that COP measurement could be a useful monitor of the occurrence of vasospasm following SAH.
