Abstract TP534: Comparing the Outcomes of Patients With Idiopathic Subarachnoid Hemorrhage by Three Distinct Perimesencephalic Bleed Patterns
| العنوان: | Abstract TP534: Comparing the Outcomes of Patients With Idiopathic Subarachnoid Hemorrhage by Three Distinct Perimesencephalic Bleed Patterns |
|---|---|
| المؤلفون: | Madison Price, Kathryn McCarthy, Alicia Bennett, Jeffrey Wagner, Constance McGraw, Alessandro Orlando, Rebecca van Vliet, Benjamin Atchie, Russell Bartt |
| المصدر: | Stroke. 50 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Advanced and Specialized Nursing, medicine.medical_specialty, Subarachnoid hemorrhage, Symptom management, business.industry, medicine, Neurology (clinical), Radiology, Bleed, Cardiology and Cardiovascular Medicine, medicine.disease, business |
| الوصف: | Introduction: Most studies on idiopathic subarachnoid hemorrhage (SAH) focus on comparing perimesencephalic bleeds (PSAHs) to aneurysmal SAHs. We divided PSAHs into three distinct bleed groups and compared clinical courses and outcomes. Methods: We included adult patients (≥18) with angiography-negative, non-traumatic SAH treated at a comprehensive stroke center (1/2015-5/2018). We excluded patients with known etiologies and convexity bleeds (N=41). Patients were categorized by bleed location on CTA: Peri-1: focal prepontine; Peri-2: pan-suprasellar cisterns; Peri-3: pan-suprasellar cisterns + sylvian fissures + intraventricular extension. Outcomes were cerebral ischemia (CI), hydrocephalus and severity, neuro critical care length of stay (NCCU LOS), and hospital LOS. Results: Of the 43 patients included in the study, 37% were Peri-1, 28% were Peri-2, and 35% were Peri-3. A majority were male (67%), with a median (IQR) age of 57 (44-63), and often presented with a headache (93%), nausea (72%), and a Hunt and Hess score of 1-3 (93%). Patients presenting with lethargy (6% vs. 17% vs. 67% p=0.006) and a modified Fisher score of 3 vs. 4 (100% vs. 92% vs. 33% p Conclusions: Our study suggests that patients with the best outcomes were those in Peri-1, followed by Peri-2, and then Peri-3. Because there are no clear risk factors for PSAH, understanding differences by bleed patterns may help tailor better treatment strategies for this population. |
| تدمد: | 1524-4628 0039-2499 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::b91f9b7bf440a08f982a02d2b6bf87fb https://doi.org/10.1161/str.50.suppl_1.tp534 |
| رقم الأكسشن: | edsair.doi...........b91f9b7bf440a08f982a02d2b6bf87fb |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244628 00392499 |
|---|