NDLI: Initial severity of aneurysmal subarachnoid hemorrhage (SAH): Trend over time.

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Initial severity of aneurysmal subarachnoid hemorrhage (SAH): Trend over time.

Content Provider	Europe PMC
Author	Sung, Seung Bin Kim, Young Deok Ban, Seung Pil Lee, Yong Jae Kwon, O-Ki
Copyright Year	2022
Abstract	Objective The trend in the initial severity of aneurysmal subarachnoid hemorrhage (SAH) is unclear. This study aimed to evaluate whether there was an improvement in the initial severity of SAH over time.Methods From January 1, 2005, to December 31, 2020, we identified patients who visited the emergency department of our institution with SAH due to intracranial aneurysm rupture. We identified the Hunt Hess (HH) grade and modified Fisher grade of each patient from the medical records, and the Mann-Kendal method was used to estimate the trend of each grade system.Results A total of 547 patients with SAH were identified. The mean age of the patients was 59.3 years (standard deviation (SD), 14.6). The mean aneurysm size was 6.9 mm (SD, 4.6 mm). The most frequent aneurysm location was the anterior communicating artery (28.7%). In the Mann-Kendal estimates for the analysis of the trend, there was no statistically significant grade throughout the HH and modified Fisher grades. Similarly, there was no improvement throughout all grades in the modified Fisher grade over time.Conclusions The initial severity of SAH due to cerebral aneurysm rupture did not improve over time.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC9829564&blobtype=pdf
ISSN	22348565
Journal	Journal of Cerebrovascular and Endovascular Neurosurgery [J Cerebrovasc Endovasc Neurosurg]
Volume Number	24
PubMed Central reference number	PMC9829564
Issue Number	4
PubMed reference number	36104959
e-ISSN	22873139
DOI	10.7461/jcen.2022.e2022.06.010
Language	English
Publisher	Korean Society of Cerebrovascular Surgeons and Korean NeuroEndovascular Society
Publisher Date	2022-09-15
Access Restriction	Open
Rights License	This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2022 by KSCVS and KoNES
Subject Keyword	Aneurysmal subarachnoid hemorrhage Severity Trends
Content Type	Text
Resource Type	Article
Subject	Neurology (clinical) Surgery Cardiology and Cardiovascular Medicine

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