Ultra-early endovascular treatment improves prognosis in High grade aneurysmal subarachnoid hemorrhage: A single-center retrospective study

医学 蛛网膜下腔出血 回顾性队列研究 接收机工作特性 改良兰金量表 血管内治疗 单中心 优势比 血管内卷取 脑积水 单变量分析 逻辑回归 多元分析 动脉瘤 内科学 外科 缺血性中风 缺血
作者
Botao Wu,Zhe Huang,Huan Liu,Jun He,Yan Jiang,Ziwei Chen,Taiwei Zhang,Fuxin Yi
出处
期刊:Frontiers in Neurology [Frontiers Media SA]
卷期号:13 被引量:1
标识
DOI:10.3389/fneur.2022.963624
摘要

The long-term survival prognosis of patients with high-grade (Hunt-Hess grade IV-V or World Federation of Neurosurgical Societies grade IV-V) aneurysmal subarachnoid hemorrhage (aSAH) is generally poor, and the association between endovascular treatment timing and the prognosis of high-grade aSAH has not been explored in depth. This retrospective cohort study aimed to determine whether endovascular treatment within 24 h of high-grade aSAH is associated with a better prognosis.We retrospectively analyzed the clinical data of patients with high-grade aSAH who were admitted to our institution between January 2018 and January 2021. The Modified Rankin Scale score was used to assess the 6-month prognosis of patients. Univariate and multivariate logistic regression analyses were used to identify the factors associated with prognosis. The area under the receiver operating characteristic (ROC) curve was used to assess the model's discriminatory ability.Eighty-six patients were included in the study. In the multivariate analysis, the timing of endovascular treatment (odds ratio = 7.003 [1.800-27.242], P = 0.005) was an independent risk factor for prognosis. The ROC curve showed that the predictive power of the timing of endovascular treatment was 0.744, the best cut-off value was 12.5 h, and the corresponding sensitivity and specificity were 71.4 and 70.5%, respectively. Hydrocephalus (P = 0.005) and pulmonary infection (P = 0.029) were also associated with prognosis. In addition, cerebrospinal fluid drainage immediately after endovascular treatment had a significant effect on reducing hydrocephalus formation.Endovascular therapy within 24 h is feasible and improves the prognosis of patients with high-grade aSAH.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
fsw完成签到,获得积分10
2秒前
潘榆发布了新的文献求助10
2秒前
小橘子发布了新的文献求助10
2秒前
3秒前
lizhen完成签到,获得积分10
3秒前
秋秋完成签到,获得积分10
3秒前
唯心如意完成签到,获得积分10
4秒前
4秒前
mhui发布了新的文献求助30
6秒前
6秒前
7秒前
情怀应助ybwei2008_163采纳,获得10
7秒前
科研通AI2S应助sbc采纳,获得10
8秒前
9秒前
不配.应助徐凤年采纳,获得10
10秒前
隐形曼青应助Ruiiiiii采纳,获得10
11秒前
张才豪发布了新的文献求助10
11秒前
宋十一完成签到,获得积分10
14秒前
smile完成签到,获得积分10
14秒前
独特的鹅完成签到,获得积分10
14秒前
映安发布了新的文献求助30
16秒前
17秒前
17秒前
笑点低衬衫完成签到 ,获得积分10
19秒前
CodeCraft应助过时的雅霜采纳,获得10
19秒前
大模型应助科研通管家采纳,获得10
19秒前
领导范儿应助科研通管家采纳,获得10
19秒前
我是老大应助科研通管家采纳,获得10
19秒前
上官若男应助科研通管家采纳,获得10
19秒前
烟花应助科研通管家采纳,获得10
20秒前
morena应助科研通管家采纳,获得10
20秒前
完美世界应助科研通管家采纳,获得10
20秒前
科研通AI2S应助科研通管家采纳,获得10
20秒前
20秒前
Owen应助科研通管家采纳,获得10
20秒前
20秒前
20秒前
忧郁的香魔完成签到,获得积分10
22秒前
负责的白风完成签到,获得积分10
22秒前
FashionBoy应助damoq采纳,获得30
23秒前
高分求助中
Phase Relations in the System Nd-Fe-Cu 1000
Medicina di laboratorio. Logica e patologia clinica 600
FDA-2: Frenchay Dysarthria Assessment 500
Sarcolestes leedsi Lydekker, an ankylosaurian dinosaur from the Middle Jurassic of England 500
《关于整治突出dupin问题的实施意见》(厅字〔2019〕52号) 500
Language injustice and social equity in EMI policies in China 500
mTOR signalling in RPGR-associated Retinitis Pigmentosa 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3214936
求助须知:如何正确求助?哪些是违规求助? 2863499
关于积分的说明 8139246
捐赠科研通 2529636
什么是DOI,文献DOI怎么找? 1363980
科研通“疑难数据库(出版商)”最低求助积分说明 643976
邀请新用户注册赠送积分活动 616583