File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Ultra-early (within 24 Hours) aneurysm treatment after subarachnoid hemorrhage

TitleUltra-early (within 24 Hours) aneurysm treatment after subarachnoid hemorrhage
Authors
KeywordsAneurysm
Clipping
Embolization
Subarachnoid hemorrhage
Timing
Issue Date2012
Citation
World Neurosurgery, 2012, v. 77, n. 2, p. 311-315 How to Cite?
AbstractBackground: The timing of definitive aneurysm treatment (coiling or clipping) in acute aneurysm subarachnoid hemorrhage was a subject of controversy. Although most vascular neurosurgeons agreed on early aneurysm treatment (within the first 72 hours), whether ultra-early aneurysm treatment (within the first 24 hours) was beneficial remained debatable. We aimed to investigate whether ultra-early aneurysm treatment is associated with better neurological outcome in all patients or only good-grade patients or only poor-grade patients. Methods: Two-hundred and seventy-six (84%) patients had hemorrhage onset time and aneurysm treatment time available for analysis. Values of P < 0.05 were taken as statistically significant, and P values between 0.05 and 0.10 were considered to be a trend. Results: For the 96 poor-grade (World Federation of Neurological Surgeons grading scale 4 to 5) patients, there was a significant association between Short Form-36 mental scores and ultra-early aneurysm treatment (50 ± 10 vs. 46 ± 10, P = 0.019) and a trend toward association between ultra-early surgery and favorable neurological outcome (odds ratio 2.4 [95% confidence interval 1.0 to 6.0], P = 0.062). A reduction in clinical rebleeding (12% vs. 22%, P = 0.168) was observed in patients undergoing ultra-early aneurysm treatment. Conclusions: Aneurysm treatment performed within the 24-hour window may be associated with a better outcome and halve the clinical rebleeding risk in poor-grade aneurysmal subarachnoid hemorrhage patients. © 2012 Elsevier Inc.
Persistent Identifierhttp://hdl.handle.net/10722/325662
ISSN
2023 Impact Factor: 1.9
2023 SCImago Journal Rankings: 0.654
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, George Kwok Chu-
dc.contributor.authorBoet, Ronald-
dc.contributor.authorNg, Stephanie Chi Ping-
dc.contributor.authorChan, Matthew-
dc.contributor.authorGin, Tony-
dc.contributor.authorZee, Benny-
dc.contributor.authorPoon, Wai Sang-
dc.date.accessioned2023-02-27T07:35:13Z-
dc.date.available2023-02-27T07:35:13Z-
dc.date.issued2012-
dc.identifier.citationWorld Neurosurgery, 2012, v. 77, n. 2, p. 311-315-
dc.identifier.issn1878-8750-
dc.identifier.urihttp://hdl.handle.net/10722/325662-
dc.description.abstractBackground: The timing of definitive aneurysm treatment (coiling or clipping) in acute aneurysm subarachnoid hemorrhage was a subject of controversy. Although most vascular neurosurgeons agreed on early aneurysm treatment (within the first 72 hours), whether ultra-early aneurysm treatment (within the first 24 hours) was beneficial remained debatable. We aimed to investigate whether ultra-early aneurysm treatment is associated with better neurological outcome in all patients or only good-grade patients or only poor-grade patients. Methods: Two-hundred and seventy-six (84%) patients had hemorrhage onset time and aneurysm treatment time available for analysis. Values of P < 0.05 were taken as statistically significant, and P values between 0.05 and 0.10 were considered to be a trend. Results: For the 96 poor-grade (World Federation of Neurological Surgeons grading scale 4 to 5) patients, there was a significant association between Short Form-36 mental scores and ultra-early aneurysm treatment (50 ± 10 vs. 46 ± 10, P = 0.019) and a trend toward association between ultra-early surgery and favorable neurological outcome (odds ratio 2.4 [95% confidence interval 1.0 to 6.0], P = 0.062). A reduction in clinical rebleeding (12% vs. 22%, P = 0.168) was observed in patients undergoing ultra-early aneurysm treatment. Conclusions: Aneurysm treatment performed within the 24-hour window may be associated with a better outcome and halve the clinical rebleeding risk in poor-grade aneurysmal subarachnoid hemorrhage patients. © 2012 Elsevier Inc.-
dc.languageeng-
dc.relation.ispartofWorld Neurosurgery-
dc.subjectAneurysm-
dc.subjectClipping-
dc.subjectEmbolization-
dc.subjectSubarachnoid hemorrhage-
dc.subjectTiming-
dc.titleUltra-early (within 24 Hours) aneurysm treatment after subarachnoid hemorrhage-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.wneu.2011.09.025-
dc.identifier.pmid22120257-
dc.identifier.scopuseid_2-s2.0-84859723697-
dc.identifier.volume77-
dc.identifier.issue2-
dc.identifier.spage311-
dc.identifier.epage315-
dc.identifier.eissn1878-8769-
dc.identifier.isiWOS:000303233800037-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats