Subarachnoid hemorrhage (SAH) is responsible of many neurological complications. However, other extra-neurological complications may occur involving the outcome of patients and worsening their prognosis. We report in this retrospective study 30 cases of subarachnoid hemorrhage that were hospitalized over a period of 3 years in our intensive care department A1 of Hassan II University Hospital, Fez, Morocco. The objective of our study is to evaluate the incidence of extra neurological complications of SAH, to describe their epidemiological and clinical characteristics to determine their impact on prognosis. Extra neurological complications were observed in 50% of cases. Metabolic complications (56.70%) were the most common followed by respiratory complications (43.3%) and cardiovascular complications (36.7%). The left heart failure, adult respiratory distress syndrome (ARDS) and renal failure were the most commonly reported. During our analysis, the factors predicting the occurrence of extra neurologic complications were: presence of headache on admission (p=0.03), grade WFNS > III (p=0.002), the depth of the initial Glasgow Coma Score (p=0.0001), modified Fisher score 4 (p=0.03), the presence of associated lesions on the initial scan (p=0.001), aneurysmal pathology (p=0.0001), the occurrence of complications neurological (p=0.033). The overall mortality was 30%. The results of our study concluded higher mortality in the group of patients with an extra-neurological complication. Therefore, the prevention and management of systemic complications are important for improving the overall clinical outcome after SAH.
