Prognosis of Patients Victim of Spontaneous Subarachnoid Hemorrhage: A Comparison between Radiologic Scales
Objective To analyze the population and the early mortality rate (up to thirty days) of patients victim of spontaneous subarachnoid hemorrhage (SAH) according to the Hunt-Hess clinical scale and the Fisher and modified Fisher radiological scales. Materials and Methods We analyzed 46 medic...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2020-01-01
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| Series: | Brazilian Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-3399537 |
| _version_ | 1823959575117692928 |
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| author | Luiza Maria Dias Abboud Hanna Sarah Eloisa Biguelini Francisco Alves de Araujo Junior Anderson Matsubara Pedro Helo dos Santos Neto |
| author_facet | Luiza Maria Dias Abboud Hanna Sarah Eloisa Biguelini Francisco Alves de Araujo Junior Anderson Matsubara Pedro Helo dos Santos Neto |
| author_sort | Luiza Maria Dias Abboud Hanna |
| collection | DOAJ |
| description | Objective To analyze the population and the early mortality rate (up to thirty days) of patients victim of spontaneous subarachnoid hemorrhage (SAH) according to the Hunt-Hess clinical scale and the Fisher and modified Fisher radiological scales.
Materials and Methods We analyzed 46 medical records and skull computed tomography (CT) scans of patients with spontaneous SAH admitted between February 2014 and December 2017 at Hospital Universitário Evangélico Mackenzie, in the city of Curitiba, state of Paraná, Brazil. The method of the study was exploratory-descriptive, transversal and retrospective, with a quantitative approach. We analyzed epidemiological (gender, age), clinical (life habits, pathologies, Glasgow coma scale and Hunt-Hess scale) and radiological (Fisher and modified Fisher scales) variables, and the Hunt-Hess and the Fisher scales were correlated with risk of death. The data was submitted to statistical analysis considering values of p < 0.05.
Result There was a higher prevalence of spontaneous SAH among women (69.5%), as well as among patients aged between 51 and 60 years (34.7%). Regarding the grades on the scales, there was higher prevalence of Fisher 4, Modified Fisher 4 and Hunt-Hess 2. Evolution to death was higher among women (76.4%) and patients aged between 61 and 70 years (35,2%).
Conclusion Mortality was higher among patients classified as Fisher 3, Modified Fisher 4 and Hunt-Hess ≥ 3. The Fisher scale is better than the modified Fisher scale to assess the risk of mortality. |
| first_indexed | 2024-12-17T16:35:05Z |
| format | Article |
| id | doaj.art-eb6ce6465681436882b6c202f8b8de6e |
| institution | Directory Open Access Journal |
| issn | 0103-5355 2359-5922 |
| language | English |
| last_indexed | 2024-12-17T16:35:05Z |
| publishDate | 2020-01-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj.art-eb6ce6465681436882b6c202f8b8de6e2022-12-21T21:41:07ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222020-01-01390100100410.1055/s-0039-3399537Prognosis of Patients Victim of Spontaneous Subarachnoid Hemorrhage: A Comparison between Radiologic ScalesLuiza Maria Dias Abboud Hanna0Sarah Eloisa Biguelini1Francisco Alves de Araujo Junior2Anderson Matsubara3Pedro Helo dos Santos Neto4Faculdades Pequeno Príncipe, Curitiba, Paraná, BrazilFaculdades Pequeno Príncipe, Curitiba, Paraná, BrazilFaculdades Pequeno Príncipe, Curitiba, Paraná, BrazilHospital Universitário Evangélico Mackenzie, Curitiba, Paraná, BrazilFaculdade Evangélica Mackenzie do Paraná, Curitiba, Paraná, BrazilObjective To analyze the population and the early mortality rate (up to thirty days) of patients victim of spontaneous subarachnoid hemorrhage (SAH) according to the Hunt-Hess clinical scale and the Fisher and modified Fisher radiological scales. Materials and Methods We analyzed 46 medical records and skull computed tomography (CT) scans of patients with spontaneous SAH admitted between February 2014 and December 2017 at Hospital Universitário Evangélico Mackenzie, in the city of Curitiba, state of Paraná, Brazil. The method of the study was exploratory-descriptive, transversal and retrospective, with a quantitative approach. We analyzed epidemiological (gender, age), clinical (life habits, pathologies, Glasgow coma scale and Hunt-Hess scale) and radiological (Fisher and modified Fisher scales) variables, and the Hunt-Hess and the Fisher scales were correlated with risk of death. The data was submitted to statistical analysis considering values of p < 0.05. Result There was a higher prevalence of spontaneous SAH among women (69.5%), as well as among patients aged between 51 and 60 years (34.7%). Regarding the grades on the scales, there was higher prevalence of Fisher 4, Modified Fisher 4 and Hunt-Hess 2. Evolution to death was higher among women (76.4%) and patients aged between 61 and 70 years (35,2%). Conclusion Mortality was higher among patients classified as Fisher 3, Modified Fisher 4 and Hunt-Hess ≥ 3. The Fisher scale is better than the modified Fisher scale to assess the risk of mortality.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-3399537intracranial vasospasmsubarachnoid hemorrhageaneurysmprognosis |
| spellingShingle | Luiza Maria Dias Abboud Hanna Sarah Eloisa Biguelini Francisco Alves de Araujo Junior Anderson Matsubara Pedro Helo dos Santos Neto Prognosis of Patients Victim of Spontaneous Subarachnoid Hemorrhage: A Comparison between Radiologic Scales Brazilian Neurosurgery intracranial vasospasm subarachnoid hemorrhage aneurysm prognosis |
| title | Prognosis of Patients Victim of Spontaneous Subarachnoid Hemorrhage: A Comparison between Radiologic Scales |
| title_full | Prognosis of Patients Victim of Spontaneous Subarachnoid Hemorrhage: A Comparison between Radiologic Scales |
| title_fullStr | Prognosis of Patients Victim of Spontaneous Subarachnoid Hemorrhage: A Comparison between Radiologic Scales |
| title_full_unstemmed | Prognosis of Patients Victim of Spontaneous Subarachnoid Hemorrhage: A Comparison between Radiologic Scales |
| title_short | Prognosis of Patients Victim of Spontaneous Subarachnoid Hemorrhage: A Comparison between Radiologic Scales |
| title_sort | prognosis of patients victim of spontaneous subarachnoid hemorrhage a comparison between radiologic scales |
| topic | intracranial vasospasm subarachnoid hemorrhage aneurysm prognosis |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-3399537 |
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