Forschungsdatenbank PMU-SQQUID

PMU-Autor/inn/en

Abstract

AIM
To propose a new computed tomography (CT)-based classification system for non-aneurysmal subarachnoid haemorrhage (SAH), which predicts patients" discharge clinical outcome and helps to prioritize appropriate patient management.
A 5-year, retrospective, two-centre study was carried out involving 1486 patients presenting with SAH. One hundred and ninety patients with non-aneurysmal SAH were included in the study. Initial cranial CT findings at admission were correlated with the patients" discharge outcomes measured using the Modified Rankin Scale (MRS). A CT-based classification system (type 1-4) was devised based on the topography of the initial haemorrhage pattern.
Seventy-five percent of the patients had type 1 haemorrhage and all these patients had a good clinical outcome with a discharge MRS of Haemorrhages of the type 1 category are usually benign and do not warrant an extensive battery of clinical and radiological investigations. Type 2 haemorrhages have a varying prognosis and need to be investigated and managed along similar lines as that of an aneurysmal haemorrhage with emphasis towards radiological investigation. Type 3 and type 4 haemorrhages need to be extensively investigated to find an underlying cause.

Useful keywords (using NLM MeSH Indexing)

Adult

Aged

Aged, 80 and over

Austria/epidemiology

Cerebral Angiography/methods

Female

Great Britain/epidemiology

Humans

Male

Middle Aged

Patient Discharge/statistics*

numerical data*

Prognosis

Retrospective Studies

Subarachnoid Hemorrhage/classification

Subarachnoid Hemorrhage/epidemiology

Subarachnoid Hemorrhage/radiography*

Tomography, X-Ray Computed

Treatment Outcome

Young Adult