Preoperative prediction of long-term outcome in poor-grade aneurysmal subarachnoid hemorrhage.

摘要: OBJECTIVE: To evaluate which presentation indices, demographics, and clinical information predict 12-month outcome in poor-grade aneurysmal subarachnoid hemorrhage (SAH), to provide a preoperative index of prognosis. METHODS: Data were obtained on all patients with (Hunt Hess Grades IV V) SAH from prospectively maintained database health outcomes project. Demographics, medical history, presenting condition, analyzed. Survival analysis was performed Kaplan-Meier curves generated. Multivariable logistic regression used identify significant predictors poor at 12 months after hemorrhage, as measured by the modified Rankin disability scale. RESULTS: for open surgery endovascular treatment did not differ significantly. Overall, 40% 98 definitively treated had favorable months. identified patient age older than 65 years (P < 0.001), hyperglycemia 0.03), worst Hunt Grade V 0.0001), aneurysm size least 13 mm 0.002) outcome. These variables weighted compute Prognosis Score (hereafter, Score) each patient. A 0 associated 90% outcome; 1 83%; 2 43%; 3 8%; 4 7%; 5 0%. CONCLUSION: Outcome is strongly predicted age, grade, size. Hyperglycemia admission increases likelihood outcome, potentially modifiable risk factor. The useful tool preoperatively assessing Door-grade patients.