Re-bleeding predictors in patients with aneurysmal subarachnoid haemorrhage and delayed neurosurgical treatment

To evaluate the re-bleeding predictors in patients with delayed treatment of aneurysmal subarachnoid hemorrhage. A prospective cohort study enrolled 261 patients with aneurysmal subarachnoid hemorrhage, attending in Hermanos Ameijeiras Hospital from October 2005, and June 2014. An increased re-bleed...

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Veröffentlicht in:	Neurocirugía (Asturias, Spain) Spain), 2016-03, Vol.27 (2), p.51-56
Hauptverfasser:	Rivero Rodríguez, Dannys, Scherle Matamoros, Claudio, Fernández Cúe, Leda, Miranda Hernández, José Luis, Pernas Sánchez, Yanelis, Pérez Nellar, Jesús
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Schlagworte:	Adult Cohort Studies Humans Neurosurgical Procedures Prognosis Prospective Studies Recurrence Subarachnoid Hemorrhage - surgery Time Factors
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container_title	Neurocirugía (Asturias, Spain)
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creator	Rivero Rodríguez, Dannys Scherle Matamoros, Claudio Fernández Cúe, Leda Miranda Hernández, José Luis Pernas Sánchez, Yanelis Pérez Nellar, Jesús
description	To evaluate the re-bleeding predictors in patients with delayed treatment of aneurysmal subarachnoid hemorrhage. A prospective cohort study enrolled 261 patients with aneurysmal subarachnoid hemorrhage, attending in Hermanos Ameijeiras Hospital from October 2005, and June 2014. An increased re-bleeding risk in the multivariate analysis was associated with grade III (OR 2.01; 95% CI; 1.06-3.84) and grade IV (OR 3.84; 95% CI; 2.06-7.31) on World Federation Neurological Surgeon (WFNS) scale; grade III (OR 2.04; 95% CI; 1.01-4.13) and grade IV (OR 2.12, 95% CI; 1.05-4.28) on the Fischer scale, aneurism location in posterior circulation (OR 2.45, 95% CI; 1.33-4.44), and anterior communicant artery (OR 1.57, 95% CI;1.00-2.46). Hypertension history was present in 60.9% (159 patients) and was also associated with risk of re-bleeding (OR 2.70, 95% CI; 1.00-7.30). Blood pressure, haematocrit, glycemic, aneurysm size, multiple aneurysms, and location in the middle cerebral artery, do not show any relationship. Hypertension history, poor grade (III and IV) on WFNS and Fisher scale and aneurysm location were independent risks factors of re-bleeding in patients with delayed aneurysmal treatment.
doi_str_mv	10.1016/j.neucir.2015.05.004
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A prospective cohort study enrolled 261 patients with aneurysmal subarachnoid hemorrhage, attending in Hermanos Ameijeiras Hospital from October 2005, and June 2014. An increased re-bleeding risk in the multivariate analysis was associated with grade III (OR 2.01; 95% CI; 1.06-3.84) and grade IV (OR 3.84; 95% CI; 2.06-7.31) on World Federation Neurological Surgeon (WFNS) scale; grade III (OR 2.04; 95% CI; 1.01-4.13) and grade IV (OR 2.12, 95% CI; 1.05-4.28) on the Fischer scale, aneurism location in posterior circulation (OR 2.45, 95% CI; 1.33-4.44), and anterior communicant artery (OR 1.57, 95% CI;1.00-2.46). Hypertension history was present in 60.9% (159 patients) and was also associated with risk of re-bleeding (OR 2.70, 95% CI; 1.00-7.30). Blood pressure, haematocrit, glycemic, aneurysm size, multiple aneurysms, and location in the middle cerebral artery, do not show any relationship. Hypertension history, poor grade (III and IV) on WFNS and Fisher scale and aneurysm location were independent risks factors of re-bleeding in patients with delayed aneurysmal treatment.</description><subject>Adult</subject><subject>Cohort Studies</subject><subject>Humans</subject><subject>Neurosurgical Procedures</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Subarachnoid Hemorrhage - surgery</subject><subject>Time Factors</subject><issn>1130-1473</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kFtLxDAQhfOguOvqPxDJoy-tuTVpH2XxBguC6HOZJtk2S28mKbL_3ogrDByY-eYcZhC6oSSnhMr7Qz7aRTufM0KLnKQi4gytKeUko0LxFboM4ZCaXBbkAq2YZJIwItZoerdZ01tr3Nji2SfVcfIBuxHPEJ0dY8DfLnYYUoI_hgF6HJYGPOhunJzBHdhh8r6D1ibGYGN7OFqDf_EpLL51Oq1EbyEOye0Kne-hD_b6pBv0-fT4sX3Jdm_Pr9uHXTZTQWMmDNHMGMkboYUyphJaMU4rKnipRGmA7cGkYSVpwcqKKslBkaYBBoIBVHyD7v58Zz99LTbEenBB275Pd0xLqKlSUrJSFSKhtyd0aQZr6tm7Afyx_n8S_wE8O2tl</recordid><startdate>201603</startdate><enddate>201603</enddate><creator>Rivero Rodríguez, Dannys</creator><creator>Scherle Matamoros, Claudio</creator><creator>Fernández Cúe, Leda</creator><creator>Miranda Hernández, José Luis</creator><creator>Pernas Sánchez, Yanelis</creator><creator>Pérez Nellar, Jesús</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201603</creationdate><title>Re-bleeding predictors in patients with aneurysmal subarachnoid haemorrhage and delayed neurosurgical treatment</title><author>Rivero Rodríguez, Dannys ; Scherle Matamoros, Claudio ; Fernández Cúe, Leda ; Miranda Hernández, José Luis ; Pernas Sánchez, Yanelis ; Pérez Nellar, Jesús</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-4d0c2dd63b4c47dd94c723191438748da2fad3b496152891763a70bba2a42aa93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Cohort Studies</topic><topic>Humans</topic><topic>Neurosurgical Procedures</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Recurrence</topic><topic>Subarachnoid Hemorrhage - surgery</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rivero Rodríguez, Dannys</creatorcontrib><creatorcontrib>Scherle Matamoros, Claudio</creatorcontrib><creatorcontrib>Fernández Cúe, Leda</creatorcontrib><creatorcontrib>Miranda Hernández, José Luis</creatorcontrib><creatorcontrib>Pernas Sánchez, Yanelis</creatorcontrib><creatorcontrib>Pérez Nellar, Jesús</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Neurocirugía (Asturias, Spain)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rivero Rodríguez, Dannys</au><au>Scherle Matamoros, Claudio</au><au>Fernández Cúe, Leda</au><au>Miranda Hernández, José Luis</au><au>Pernas Sánchez, Yanelis</au><au>Pérez Nellar, Jesús</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Re-bleeding predictors in patients with aneurysmal subarachnoid haemorrhage and delayed neurosurgical treatment</atitle><jtitle>Neurocirugía (Asturias, Spain)</jtitle><addtitle>Neurocirugia (Astur)</addtitle><date>2016-03</date><risdate>2016</risdate><volume>27</volume><issue>2</issue><spage>51</spage><epage>56</epage><pages>51-56</pages><issn>1130-1473</issn><abstract>To evaluate the re-bleeding predictors in patients with delayed treatment of aneurysmal subarachnoid hemorrhage. A prospective cohort study enrolled 261 patients with aneurysmal subarachnoid hemorrhage, attending in Hermanos Ameijeiras Hospital from October 2005, and June 2014. An increased re-bleeding risk in the multivariate analysis was associated with grade III (OR 2.01; 95% CI; 1.06-3.84) and grade IV (OR 3.84; 95% CI; 2.06-7.31) on World Federation Neurological Surgeon (WFNS) scale; grade III (OR 2.04; 95% CI; 1.01-4.13) and grade IV (OR 2.12, 95% CI; 1.05-4.28) on the Fischer scale, aneurism location in posterior circulation (OR 2.45, 95% CI; 1.33-4.44), and anterior communicant artery (OR 1.57, 95% CI;1.00-2.46). Hypertension history was present in 60.9% (159 patients) and was also associated with risk of re-bleeding (OR 2.70, 95% CI; 1.00-7.30). Blood pressure, haematocrit, glycemic, aneurysm size, multiple aneurysms, and location in the middle cerebral artery, do not show any relationship. Hypertension history, poor grade (III and IV) on WFNS and Fisher scale and aneurysm location were independent risks factors of re-bleeding in patients with delayed aneurysmal treatment.</abstract><cop>Spain</cop><pmid>26260204</pmid><doi>10.1016/j.neucir.2015.05.004</doi><tpages>6</tpages></addata></record>
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subjects	Adult Cohort Studies Humans Neurosurgical Procedures Prognosis Prospective Studies Recurrence Subarachnoid Hemorrhage - surgery Time Factors
title	Re-bleeding predictors in patients with aneurysmal subarachnoid haemorrhage and delayed neurosurgical treatment
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