Prevalence, Clinical Profile and Influence of Onset-to-Treatment Time for Subarachnoid Hemorrhage on Quality of Life in Patients: A Retrospective Study of a Decade

Guilherme dos Reis Guimaraes, Joao Pedro Mota Lima, Caio Bolfer da Silva, Enrico Garcia Panucci, Rodrigo Ferrari Fernandes Naufal, Adib Saraty Malveira, Lorenna Izadora Capovilla Martins Gonzalez-Reyes, Marcos Natal Rufino, Margarete Jardinetti de Oliveira

Abstract


Background: The objective of the current study was to outline the clinical profile of patients diagnosed with subarachnoid hemorrhage (SAH) due to intracranial aneurysm rupture, treated at a reference hospital in the interior of Sao Paulo, and to investigate the time elapsed between the ictus and the surgical approach and its relationship with motor deficits evaluated according to the modified Rankin Scale (MRS).

Methods: This is a retrospective cohort, with data collection and analysis of patients with SAH between 2010 and 2020.

Results: The results showed no correlation between MRS and: sex (P = 0.3459 nonparametric Mann-Whitney test), age range, and ethnicity (P = 0.5451 and P = 0.513, respectively, nonparametric Kruskal-Wallis test), affected arteries (P = 0.4801 nonparametric test of Kruskal-Wallis), and onset-to-treatment time for hemorrhage (rho = 0.02; P = 0.8204 in Spearman’s nonparametric correlation test), adopting 5% significance.

Conclusions: The prevalence of SAH in the hospital studied, and the profile and clinical aspects of the patients treated are similar to existing data in the literature. The onset-to-treatment time and site of the aneurysm did not influence the prognosis of the patients, who presented slightly better MRS levels than those found in the literature.




J Neurol Res. 2024;14(2):68-73
doi: https://doi.org/10.14740/jnr769

Keywords


Subarachnoid hemorrhage; Encephalic vascular accident; Intracranial aneurysm; Prevalence

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