Improvement in patient outcomes following endovascular treatment of WFNS grade V subarachnoid haemorrhage from 2000 to 2014

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Joji InamasuYuichi Hirose

Abstract

Patient outcomes following grade V subarachnoid haemorrhage (SAH) have been dismal, although they may have improved following recent technological advances in endovascular treatment (EVT). A single-centre, retrospective study was conducted to evaluate whether outcomes have improved from 2000 to 2014 for patients with World Federation of Neurosurgical Societies (WFNS) grade V SAH. Coiling has been the preferred first-line treatment for grade V SAH patients in our institution since 2000. Patients who underwent EVT (n=115) were grouped on the basis of their hospital admission year: 2000-2004 (n=44), 2005-2009 (n=37) and 2010-2014 (n=34). Patient demographics, outcomes and in-hospital mortality rates were compared between the groups. Patient outcomes at discharge were evaluated using the Glasgow Outcome Scale (GOS), with GOS scores of 4-5 defined as favourable outcomes. There were no significant intergroup differences in patient demographics. In addition, there were no significant differences in the frequencies of favourable outcomes (14% in 2000-2004, 16% in 2005-2009 and 26% in 2010-2014). Mortality rates were 52% in 2000-2004, 43% in 2005-2009 and 24% in 2010-2014, with a significantly lower mortality rate in 2010-2014 than in 2...Continue Reading

References

Nov 15, 2008·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Robert M StarkeE Sander Connolly
Apr 11, 2009·Stroke; a Journal of Cerebral Circulation·Jennifer A FronteraStephan A Mayer
Jul 28, 2012·Journal of Critical Care·Neeraj Sunderrajan NavalRafael J Tamargo
Nov 16, 2013·AJNR. American Journal of Neuroradiology·A M MortimerS A Renowden
Jul 26, 2014·AJNR. American Journal of Neuroradiology·D MitraP Mitchell
Oct 18, 2014·Neuroradiology·Yong-Chun LuoZi-Jun He
Dec 24, 2014·World Neurosurgery·Hirotoshi SanoUNKNOWN members of the 38 registered institutions and WFNS Cerebrovascular Disease & Treatment Committee
May 7, 2015·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Akiyo SadatoYuichi Hirose

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Citations

Jul 5, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Dustin G MarkDustin W Ballard
Jan 22, 2021·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Andreas H KramerJohn H Wong

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