Publication | Closed Access
Clinical course of spontaneous subarachnoid hemorrhage
308
Citations
0
References
1993
Year
Clinical CourseKing CountyAcute HydrocephalusOphthalmologySubarachnoid HemorrhageMedicinePatient SafetyIncident Subarachnoid HemorrhageIntracranial PressureBrain InjuryNeurologyCerebrovascular InterventionCerebral Blood FlowNeuropathologyStrokeNeurovascular Disease
"Among the cohort, five patients died without medical care; 103 underwent aneurysm surgery, 40 developed hydrocephalus, 32 had vasospasm, and 30 re-bled; 68% survived to one month and 62% to one year, with youth, high admission GCS, and no initial CT blood predicting better one‑month recovery, and roughly one‑third of patients were dead, one‑third had deficits, and one‑third were well at one month." That's long but still one sentence. Need to keep it concise but include key points. Maybe split?
Over 2 years, we identified 171 patients in King County, Washington, experiencing an incident subarachnoid hemorrhage and characterized their clinical course and outcome. Most (65%) were women and most (68%) were under age sixty-five. Only five died without medical attention. The remaining 166 patients were hospitalized and had CTs of the head. Of these, 103 underwent aneurysm surgery, 40 developed acute hydrocephalus, 32 had symptomatic vasospasm, and 30 re-bled. Sixty-eight percent (68%) survived to 1 month after the bleed and 62% to 1 year. Independent predictors of good recovery by 1 month after the bleed included youth, a high score on the admission Glasgow Coma Scale, and absence of blood on the first CT. In this population-based series, at 1 month after the bleed, approximately one-third of patients were dead, one-third had neurologic deficits, and one-third were doing well.