Correlation between ED symptoms and clinical outcomes in the patient with aneurysmal subarachnoid hemorrhage.

Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association
Kristin AdkinsPaula Sherwood

Abstract

Aneurysmal subarachnoid hemorrhage (aSAH) is a devastating neurologic insult often presenting to the emergency department as a headache. Recognition and prompt treatment are important to good outcomes. The purpose of this analysis was to examine the presentation of aSAH patients to the emergency department and determine whether presentation predicts length of stay or death. This is a retrospective review of data gathered from 2 existing studies. Data from patients diagnosed with acute aSAH were reviewed for symptoms, clinical presentation, history, demographics, and laboratory results. Statistical analysis was completed by use of χ(2) and regression analysis. This sample of 193 adult aSAH patients confirmed headache as well as meningeal signs as the most frequent symptom on presentation to the emergency department, and this was cited as the most common reason for seeking medical treatment. Symptom presentation did not appear to affect length of stay; however, survival analysis showed that patients who presented with a Hunt and Hess grade greater than 3 along with bradycardia were 15.6 times more likely to die within the first month of aSAH. Although aSAH presentation remains the same, this analysis did find a correlation betwee...Continue Reading

References

Nov 1, 1989·Annals of Emergency Medicine·P B Fontanarosa
Sep 15, 2005·Neurocritical Care·David S Rosen, R Loch Macdonald
Feb 27, 2007·Stroke; a Journal of Cerebral Circulation·Marian J Vermeulen, Michael J Schull
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Jun 20, 2008·British Journal of Nursing : BJN·Neal F Cook
Dec 17, 2008·Southern Medical Journal·Mansooreh ToghaPatricia Khashayar

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Citations

Aug 16, 2015·Clinical Neurology and Neurosurgery·Sahar WesaliKatharina S Sunnerhagen
Nov 23, 2013·Neurology India·Shyamal Kumar DasJharna Ray
Aug 18, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Asger SonneLars Simon Rasmussen

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