2021
DOI: 10.1093/neuros/nyaa465_s105
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Aneurysmal Subarachnoid Hemorrhage: Trends, Outcomes, and Predictions From a 15-Year Perspective of a Single Neurocritical Care Unit

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Cited by 3 publications
(12 citation statements)
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“…If ruptured, it is very easy to cause subarachnoid hemorrhage (SAH), which is the reason for the high morbidity and mortality of IAs [3]. IA-induced SAH not only contributes to a mortality rate as high as 20% but also a high recurrence rate in surviving patients [4]. Age, sex, hypertension, aneurysm size, and smoking have long been identified as risk factors [5].…”
Section: Introductionmentioning
confidence: 99%
“…If ruptured, it is very easy to cause subarachnoid hemorrhage (SAH), which is the reason for the high morbidity and mortality of IAs [3]. IA-induced SAH not only contributes to a mortality rate as high as 20% but also a high recurrence rate in surviving patients [4]. Age, sex, hypertension, aneurysm size, and smoking have long been identified as risk factors [5].…”
Section: Introductionmentioning
confidence: 99%
“…A previous study showed a change in HH grade over time. 19) However, this was not the primary outcome in that study. Additionally, they did not provide a detailed description.…”
Section: Discussionmentioning
confidence: 81%
“…Some studies have included information on the initial severity of SAH, but it was roughly described, so it could not be determined whether there was an improvement. 19) Similarly, the initial amount and extent of SAH could affect outcomes. 2) Cerebral ischemia due to vasospasm is associated with high morbidity and mortality; however, the changes over time are also unclear.…”
Section: Resultsmentioning
confidence: 99%
“…1 Treatment of aSAH has undergone significant advances in surgical, interventional, and medical management, resulting in improved outcomes. 2 Despite this, patients often require admission to the intensive care unit (ICU) due to a high rate of complications, including early rebleeding, vasospasm, delayed cerebral ischemia, acute kidney injury (AKI) and hydrocephalus. 2,3 These have been associated with poor outcomes with a fatality rate as high as 51%, especially when considering factors such as level of consciousness on admission, age, and amount of blood on initial imaging 1-3. Although limited investigations have been conducted on the specific impact of AKI on non-traumatic SAH outcomes, AKI is associated with respiratory failure, pneumonia, and increased length of stay (LOS), disability, and mortality 2,4-9. The use of contrast in neuroendovascular imaging and intervention is a known cause of renal impairment in aSAH patients, however the specific etiology of AKI in aSAH patients has yet to be elucidated.…”
Section: Introductionmentioning
confidence: 99%
“…2 Despite this, patients often require admission to the intensive care unit (ICU) due to a high rate of complications, including early rebleeding, vasospasm, delayed cerebral ischemia, acute kidney injury (AKI) and hydrocephalus. 2,3 These have been associated with poor outcomes with a fatality rate as high as 51%, especially when considering factors such as level of consciousness on admission, age, and amount of blood on initial imaging 1-3. Although limited investigations have been conducted on the specific impact of AKI on non-traumatic SAH outcomes, AKI is associated with respiratory failure, pneumonia, and increased length of stay (LOS), disability, and mortality 2,4-9. The use of contrast in neuroendovascular imaging and intervention is a known cause of renal impairment in aSAH patients, however the specific etiology of AKI in aSAH patients has yet to be elucidated. 10,11 The Risk, Injury, Failure, Loss, and End-stage renal disease (RIFLE) criteria is utilized frequently in the literature to identify AKI, and was developed by the Acute Dialysis Quality Initiative (ADQI) Group in 2004 to establish consistent and sensitive guidelines for the detection and management of this condition.…”
Section: Introductionmentioning
confidence: 99%