Predicting the Lack of Development of Delayed Cerebral Ischemia After Aneurysmal Subarachnoid Hemorrhage

作者: Emanuela Crobeddu , Manoj K. Mittal , Stefan Dupont , Eelco F.M. Wijdicks , Giuseppe Lanzino

DOI: 10.1161/STROKEAHA.111.638403

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摘要: Background and Purpose—Patients with aneurysmal subarachnoid hemorrhage are typically kept in the intensive care unit to be monitored for signs of delayed cerebral ischemia (DCI). Identifying patients at lower risk DCI could have a positive financial impact by allowing earlier transfer from unit. Methods—We analyzed 307 consecutive admitted Demographic, clinical, neuroimaging data were recorded. The relationship absent was using univariate multivariate logistic regression models. Results—DCI did not develop 169 (57.9%). Among factors admission, age 68 years or older (P=0.0003; OR, 3.16; 95% CI, 1.66–6.39), World Federation Neurological Surgeons (WFNS) I III presentation 2.73; 1.57–4.79), WFNS worst 2.39; 1.48–3.87), after resuscitation (P=0.0006; 2.85; 1.56–5.32), modified Fisher grade 1 2 (P=0.0021; 2.43; 9...

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