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CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(03): 525-530
DOI: 10.4103/ajns.AJNS_13_21
Original Article

Factors influencing 1-year functional outcome after surgery in aneurysmal subarachnoid hemorrhage patients: A single-center series

I-sorn Phoominaonin
Department of Surgery, Neurosurgery Unit, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
,
Somkiat Wongsuriyanan
Department of Surgery, Neurosurgery Unit, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
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Objective: The objective of the study was to evaluate the outcome and related factors in patients with aneurysmal subarachnoid hemorrhage (aSAH). Materials and Methods: Clinical data of 221 patients who were diagnosed with spontaneous SAH due to ruptured intracranial aneurysm and surgically treated at Vajira Hospital between January 2013 and May 2016 were retrospectively reviewed. Patient and aneurysm characteristics, clinical status at presentation, treatment, and status at discharge and 1 year after discharge were recorded. Outcomes 1 year after surgery were assessed using the Glasgow Outcome Scale (GOS). Patients were divided into two groups according to the GOS score: the favorable outcome group (GOS scores 4 and 5) and unfavorable outcome group (GOS scores 1–3). Results: Among the 221 study patients, 158 were classified in the favorable outcome group and 63 in the unfavorable outcome group. Patient age, Hunt and Hess grade, aneurysm size, use of Vitamin C solution irrigation in the subarachnoid space, and GOS score 1 year after surgery significantly differed between the two groups. Conclusions: Numerous factors analyzed in this study were significantly associated with 1-year outcome in surgically treated aSAH patients, including subarachnoid Vitamin C irrigation. Further study of subarachnoid Vitamin C irrigation is warranted.

Key-words:

Aneurysm clipping - aneurysm trapping - aneurysmal subarachnoid hemorrhage - ruptured intracranial aneurysm

Financial support and sponsorship

Nil.




Publication History

Received: 12 January 2021

Accepted: 16 March 2021

Article published online:
16 August 2022

© 2021. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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