Long-term results in patients with intracranial aneurismal subarachnoid hemorrhages and their prognosis.
In 260 patients with intracranial aneurism hemorrhages long-term results were estimated according to Rankin scale 2,5 years after operation. Long-term results by Rankin 0-2 were considered to be “good”, 3-5 were considered to be “bad” ones. Two years after operation 53% of all patients had “good” l...
Saved in:
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dnipro State Medical University
2015-06-01
|
| Series: | Medičnì Perspektivi |
| Subjects: | |
| Online Access: | http://journals.uran.ua/index.php/2307-0404/article/view/45654 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846146928465674240 |
|---|---|
| author | S. O. Dudukina |
| author_facet | S. O. Dudukina |
| author_sort | S. O. Dudukina |
| collection | DOAJ |
| description | In 260 patients with intracranial aneurism hemorrhages long-term results were estimated according to Rankin scale 2,5 years after operation. Long-term results by Rankin 0-2 were considered to be “good”, 3-5 were considered to be “bad” ones. Two years after operation 53% of all patients had “good” long-term outcome. Factors negatively influencing long-term outcomes are to be the following: intra-operational aneurism rupture, temporary arterial clipping in the process of operation, complications in the post-operational period, angiospasm according to the transcranial Doppler sonography, angiospasm prevalence, clinicopathologic hemorrhage characteristics “subarachnoid hemorrhage+others”, critical condition according to H-H>1, feminine sex, aneurism location in the forebrain arteria, subarachnoid hemorrhage lesion according to Fisher> II, ischemic heart disease, pathological comorbitidy, ABO blood group – III or IV. “Good” treatment results 2,5 years after treatment are prognosticated in patients with severe invalidity by Glasgo scale (GOS=3) on hospital discharge, in those who didn’t experience ischemic stroke after operation and with severity of condition I or II according to H-H on admission. In patients with GOS-3 on hospital discharge the best long-term results according to Rankin were observed in those treated under hypothermia conditions. Hypertensive disease worsens long-term results according to Rankin even in patients with GOS-5 on hospital discharge. With positive renovation results by Rankin 0 or 1 in the post-operation period (GOS = 5) excellent long-term results are prognosticated, but the best results could be obtained in patients without hypertensive disease under prophylactic hypothermia. |
| format | Article |
| id | doaj-art-eae7e942e4b044e394d9d9bf256c408f |
| institution | Kabale University |
| issn | 2307-0404 |
| language | English |
| publishDate | 2015-06-01 |
| publisher | Dnipro State Medical University |
| record_format | Article |
| series | Medičnì Perspektivi |
| spelling | doaj-art-eae7e942e4b044e394d9d9bf256c408f2024-12-02T00:48:23ZengDnipro State Medical UniversityMedičnì Perspektivi2307-04042015-06-01202626910.26641/2307-0404.2015.2.4565445654Long-term results in patients with intracranial aneurismal subarachnoid hemorrhages and their prognosis.S. O. DudukinaIn 260 patients with intracranial aneurism hemorrhages long-term results were estimated according to Rankin scale 2,5 years after operation. Long-term results by Rankin 0-2 were considered to be “good”, 3-5 were considered to be “bad” ones. Two years after operation 53% of all patients had “good” long-term outcome. Factors negatively influencing long-term outcomes are to be the following: intra-operational aneurism rupture, temporary arterial clipping in the process of operation, complications in the post-operational period, angiospasm according to the transcranial Doppler sonography, angiospasm prevalence, clinicopathologic hemorrhage characteristics “subarachnoid hemorrhage+others”, critical condition according to H-H>1, feminine sex, aneurism location in the forebrain arteria, subarachnoid hemorrhage lesion according to Fisher> II, ischemic heart disease, pathological comorbitidy, ABO blood group – III or IV. “Good” treatment results 2,5 years after treatment are prognosticated in patients with severe invalidity by Glasgo scale (GOS=3) on hospital discharge, in those who didn’t experience ischemic stroke after operation and with severity of condition I or II according to H-H on admission. In patients with GOS-3 on hospital discharge the best long-term results according to Rankin were observed in those treated under hypothermia conditions. Hypertensive disease worsens long-term results according to Rankin even in patients with GOS-5 on hospital discharge. With positive renovation results by Rankin 0 or 1 in the post-operation period (GOS = 5) excellent long-term results are prognosticated, but the best results could be obtained in patients without hypertensive disease under prophylactic hypothermia.http://journals.uran.ua/index.php/2307-0404/article/view/45654intracranial aneurism hemorrhagerisk factorstherapeutic hypothermiarules of prognosis |
| spellingShingle | S. O. Dudukina Long-term results in patients with intracranial aneurismal subarachnoid hemorrhages and their prognosis. Medičnì Perspektivi intracranial aneurism hemorrhage risk factors therapeutic hypothermia rules of prognosis |
| title | Long-term results in patients with intracranial aneurismal subarachnoid hemorrhages and their prognosis. |
| title_full | Long-term results in patients with intracranial aneurismal subarachnoid hemorrhages and their prognosis. |
| title_fullStr | Long-term results in patients with intracranial aneurismal subarachnoid hemorrhages and their prognosis. |
| title_full_unstemmed | Long-term results in patients with intracranial aneurismal subarachnoid hemorrhages and their prognosis. |
| title_short | Long-term results in patients with intracranial aneurismal subarachnoid hemorrhages and their prognosis. |
| title_sort | long term results in patients with intracranial aneurismal subarachnoid hemorrhages and their prognosis |
| topic | intracranial aneurism hemorrhage risk factors therapeutic hypothermia rules of prognosis |
| url | http://journals.uran.ua/index.php/2307-0404/article/view/45654 |
| work_keys_str_mv | AT sodudukina longtermresultsinpatientswithintracranialaneurismalsubarachnoidhemorrhagesandtheirprognosis |