Article Figures & Data
Figures
- Fig 1.
Pie chart showing the outcomes in the entire group of patients with SAH (DALY indicates daily activities of living).
- Fig 2.
Graph showing the outcomes and disabilities of patients according to their admission HH (A) and the presence or absence of ICH (B) in the entire group of patients with SAH.
- Fig 3.
A, Graph showing a comparison of the admission WFNS grades in our patients to that of patients in the ISAT study. B, Graph showing a comparison of the outcome in our patients (3 month mRS) to that of patients in the ISAT study (1 year mRS).
Tables
Vasospasm MCA Vasospasm BA Vasospasm ACA Vasospasm VA Vasospasm PCA Vasospasm MCA Velocity (cm/s) & MCA/ICA Ratio BA Velocity (cm/s) & BA/VA Ratio ACA Velocity (cm/s) VA Velocity (cm/s) PCA Velocity (cm/s) Mild ≥120 & ≥3 ≥70 & ≥2 Moderate >150 & ≥3 ≥85 & ≥2.5 ≥130 ≥80 ≥110 Severe ≥200 & ≥6 ≥85 & ≥3 Note:—SAH indicates subarachnoid hemorrhage; MCA, middle cerebral artery, ICA, internal carotid artery; BA, basilar artery; VA, vertebral artery; ACA, anterior cerebral artery; PCA, posterior cerebral artery.
Location Total (%) Clip (%) Coil (%) Anterior communicating artery 72 (37.50) 34 (32.38) 38 (43.68) Vertebrobasilar system 31 (16.15) 17 (16.19) 14 (16.09) Internal carotid artery 21 (10.94) 15 (14.29) 6 (6.90) Middle cerebral artery 25 (13.02) 21 (20.00) 4 (4.60) Posterior communicating artery 27 (14.06) 14 (13.33) 13 (14.94) Pericallosal 11 (5.73) 1 (0.95) 10 (11.49) Multiple 5 (2.60) 3 (2.86) 2 (2.30) Total 192 105 (54.69) 87 (45.31) - Table 3:
Statistical P values of pretreatment variables as predictors of three-month mRS outcomes considered simultaneously
Variables All Aneurysms Age .150 Sex .927 Comorbidity .095* Admission HH .001† Admission Fisher .102 Admission WFNS .626 Location .316 Size >1 cm .986 Multiple aneurysms .302 Family history .507 ICH .013† Note:—mRS indicates modified Rankin Scale; HH, Hunt and Hess; WFNS, World Federation of Neurosurgical Societies; ICH, intracerebral hemorrhage.
* Value shows a trend toward statistical significance.
† Values are statistically significant.
Variables Clip (%) Coil (%) Age >50 y 65 (61.90) 58 (66.67) Male:female 1:1.84 1:2 Comorbidity 74 (70.48) 64 (73.56) Average admission HH 2.51 ± 1.53 2.85 ± 1.65 Average admission Fisher 3.18 ± 0.93 3.27 ± 0.90 Average admission WFNS 2.32 ± 1.66 2.64 ± 1.72 Size >1 cm 19 (18.10) 18 (20.69) ICH 29 (27.62) 22 (25.29) Family history 4 (3.81) 1 (1.15) Note:—SAH indicates subarachnoid hemorrhage; HH, Hunt and Hess; WFNS, World Federation of Neurosurgical Societies; ICH, intracerebral hemorrhage.
- Table 5:
Differences in vasospasm rates, ICU stays, discharge destination, and outcomes between clipping and coiling before and after controlling for pretreatment variables
Variables Clip Coil P Value Average ICU stay (days)* 15.3 12.8 .153 No. TCD vasospasm (%) 65.7† 51.7† .022† No. papaverine/nicardipine (%) 16 10 .165 No. angioplasties (%) 18 11 .126 Discharge destination Home‡ (%) 43.8† 49.4† .022† Rehabilitation‡ (%) 35.2† 23.0† .034† Skilled nursing facility‡ (%) 12.4 11.5 .709 Outcomes In-hospital mortality (%) 8.6† 16.1† .220 3-month mortality (%) 8.6† 20.7† .116 Average 3-month mRS 1.73† 2.28† .613 Note:—ICU indicates intensive care unit; TCD, transcranial Doppler studies; mRS, modified Rankin Scale.
* Analyzed by linear regression analysis.
† Values are statistically significant.
‡ Analysis after excluding patients who died in the hospital.
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