A two-year survey of aneurysmal subarachnoid haemorrhage.
retrospective_cohort · Level III
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Abstract
OBJECTIVE: To analyse the demographic characteristics and outcomes of patients with rupture of an intracranial aneurysm--to make a comparison with other published results, and to determine whether improvements in management can be made. DESIGN: A retrospective review of the records of a consecutive series of 102 patients admitted to a neurosurgical unit in 1988 and 1989. SETTING: The Royal Brisbane Hospital neurosurgical unit. PATIENTS: Sixty-three women and 39 men with subarachnoid haemorrhage after rupture of an intracranial aneurysm. MAIN RESULTS: Sixty-three patients achieved independence and 32 died. Of those 78 patients who were able to be offered surgery, 60 (77%) became independent. The outcome was significantly influenced by the neurological condition of the patient on admission to hospital (P less than 0.01). CONCLUSION: A speedier referral of these patients to a neurosurgical unit may lead to an improvement in outcome.