The <scp>CHESS</scp> score: a simple tool for early prediction of shunt dependency after aneurysmal subarachnoid hemorrhage

Jabbarli, Ramazan; Bohrer, A; Pierscianek, Daniela; Müller, Daniela; Wrede, Karsten H.; Dammann, Philipp; Hindy, Nicolai El; Özkan, Neriman; Sure, Ulrich; Müller, Oliver

doi:10.1111/ene.12962

Cited by 70 publications

(71 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The time of our follow-up was designed on the basis of data, suggesting that more than 90% of SDH occur within 1 year after aSAH. [9,17] A total of 288 patients will be eligibly enrolled in this clinical trial. The primary outcome is the incidence of SDH at 1 year.…”

Section: Discussionmentioning

confidence: 99%

“…According to the recent studies, the incidence of SDH after aSAH was around 20% [13,15,16] ranging from 17.2% to 31.2%. [17–19] Patients with SDH experienced higher mortality, worse short- and long-term prognosis with longer hospital stay. [20,21] Moreover, SDH is an independent risk factor predicting long-term unfavorable functional outcome of aSAH.…”

Section: Introductionmentioning

confidence: 99%

“…[13] However, the baseline data between the 2 cohorts were inconsistent, especially with more patients in poor clinical condition in the former. Actually, high grade SAH is a risk factor of the occurrence of SDH, [17,18] so this difference reinforced the efficacy of FLT. Therefore, a well-designed randomized controlled trial is widely called on to definitively determine the efficacy of this technique.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The effect of fenestration of the lamina terminalis on the incidence of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage (FISH)

Tao

Fan²,

Hu³

et al. 2016

Medicine

View full text Add to dashboard Cite

Background:Shunt-dependent hydrocephalus (SDH) is a well-known sequela following aneurysmal hemorrhage, adversely affecting the outcome after securing ruptured aneurysm. Fenestration of lamina terminalis (FLT) creates an anterior ventriculostomy, facilitates cerebrospinal fluid circulation and clot clearance in the basal cistern. However, controversy exists over whether microsurgical FLT during aneurysm repair can decrease the incidence of SDH.Aims:The study is designed to determine the efficacy of lamina terminalis fenestration on the reduction of SDH after aneurysm clipping.Methods/Design:A total of 288 patients who meet the inclusion criteria will be randomized into single aneurysm clipping or aneurysm clipping plus FLT in the Department of Neurosurgery, West China Hospital. Follow-up was performed 1, 3, 6, and 12 months after aneurysm clipping. The primary outcome is the incidence of SDH and the secondary outcomes include cerebral vasospasm, functional outcome evaluated by the modified Rankin Scale and Extended Glasgow Outcome Scale, and mortality.Discussion:The FISH trial is a large randomized, parallel controlled clinical trial to define the therapeutic value of FLT, the results of which will help to guide the surgical procedure and resolve the long-puzzled debate in the neurosurgical community.Conclusions:This protocol will determine the efficacy of FLT in the setting of aneurysmal subarachnoid hemorrhage.Trial registration identifier:http://www.chictr.org.cn/edit.aspx?pid=15691&htm=4Chinese Clinical Trial Registry:ChiCTR-INR-16009249.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of fenestration of the lamina terminalis on the incidence of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage (FISH)

Tao

Fan²,

Hu³

et al. 2016

Medicine

View full text Add to dashboard Cite

show abstract

“…We are very honored by the interest shown in our recently published paper [1] and very grateful to colleagues Collins and Le Manach for their valuable recommendations. Indeed, certain concerns stated in their letter deserve attention and therefore will be considered during further evaluation of the CHESS score.…”

Section: Sirsmentioning

confidence: 91%

Authors' reply

Jabbarli

Müller

2016

Euro J of Neurology

Self Cite

View full text Add to dashboard Cite

“…Stroke represents the largest proportion of papers published, including those on pathophysiology , acute stroke management and the outcome of patients who have suffered stroke . Stroke is a worldwide problem, but its prevalence varies and may reflect both the genetic and environmental contributions to stroke, both in turn reflecting the known risk factors for stroke.…”

mentioning

confidence: 99%

Advances and insights into neurological practice 2016−17

Schapira¹

2017

Euro J of Neurology

View full text Add to dashboard Cite

The CHESS score: a simple tool for early prediction of shunt dependency after aneurysmal subarachnoid hemorrhage

Abstract: The CHESS may become a valuable diagnostic tool for early estimation of shunt dependency after SAH. Further evaluation and external validation will be required in prospective studies.

Cited by 70 publications

References 19 publications

The effect of fenestration of the lamina terminalis on the incidence of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage (FISH)

The effect of fenestration of the lamina terminalis on the incidence of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage (FISH)

Authors' reply

Advances and insights into neurological practice 2016−17

Contact Info

Product

Resources

About