Publications

Authors:

Ahmetspahić, Adi; Janković, Dragan; Burazerovic, Eldin; Rovčanin, Bekir; Šahbaz, Amina; Hasanagić, Esma; Džurlić, Almir; Granov, Nermir; Feletti, Alberto

Title:

Clinical characteristics of poor-grade aneurysmal subarachnoid hemorrhage treatment

Year:

2023

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Format:

A Stampa

Referee:

Sì

Name of journal:

ASIAN JOURNAL OF NEUROSURGERY

ISSN of journal:

1793-5482

N° Volume:

18

Number or Folder:

1

Page numbers:

132-138

Keyword:

outcome; poor grade; subarachnoid hemorrhage; surgery; treatment

Short description of contents:

Background: The initial clinical status after aneurysm rupture, whether primary or secondary, determines the final outcome. The most common cause of patient deterioration is a high Hunt and Hess (HH) score, which correlates closely with a high mortality rate. Poor-grade aneurysmal subarachnoid hemorrhage (SAH) is determined as an HH score 4 or 5. The aim of this study was to evaluate the clinical characteristics of poor graded aneurysmal SAH at our institution. Patients and Methods  During the 5-year period, 415 patients with intracranial aneurysm were admitted to our institution. Patients with poor-grade aneurysmal SAH accounted 31.08% ( n  = 132) of the total number of ruptured aneurysms. Interventional treatment was predominantly in the form of surgery, whereas conservative treatment included medication and external ventricular drainage. Final outcome was assessed with a modified Rankin score (mRs). Statistical analysis was performed using SPSS version 23.0 with a significance level set to 5% (α = 0.05). Results  The majority of patients (57.6%) were in the age range from 51 to 69 years. Twenty-five patients (18.9%) had an HH score of 4, whereas 107 patients (81.1%) had an HH score of 5. Depending on the location, the majority of patients ( n  = 43) had an aneurysm on the medial cerebral artery (MCA). The final aneurysm occlusion was performed in 71 patients, of whom 94.36% were treated surgically. A positive outcome (mRs 0-4) was found in 49.25% of patients who underwent primarily surgical, treatment with a mortality of 42.3%. Although the outcome was better in patients with an HH score 4, both groups benefited from surgical treatment. Conclusion  Poor-grade aneurismal SAH is a condition of the middle and older age, with most patients with an HH 5 score and deep comatose state. There was better outcome in patients with an HH score of 4 compared to an HH score of 5 and both groups benefited from surgical treatment, which resulted in a positive outcome in almost 50% of surgically treated patients.

Web page:

https://doi.org/10.1055/s-0043-1764118

Product ID:

133310

Handle IRIS:

11562/1091746

Last Modified:

April 16, 2023

Bibliographic citation:

Ahmetspahić, Adi; Janković, Dragan; Burazerovic, Eldin; Rovčanin, Bekir; Šahbaz, Amina; Hasanagić, Esma; Džurlić, Almir; Granov, Nermir; Feletti, Alberto, Clinical characteristics of poor-grade aneurysmal subarachnoid hemorrhage treatment «ASIAN JOURNAL OF NEUROSURGERY» , vol. 18 , n. 1 , 2023 , pp. 132-138

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