| Predictors of postoperative mortality in ruptured aneurysms of internal carotid artery. | |
| | |
MedLine Citation:
|
PMID: 22212984 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Background and purpose : An analysis of predictors of mortality in patients with ruptured intracranial aneurysm is an important aspect in the assessment of outcome. The aim of the study was to analyse factors determining mortality risk after the surgical treatment of ruptured internal carotid artery (ICA) aneurysm. Material and methods : This study comprised 242 patients operated on between 1997 and 2006 in the Neurosurgery Department of the Medical University Hospital in Gdansk, Poland. Multivariate logistic regression, ROC curves (for model assess-ment as a mortality classifier) and population attributable risk for contribution of individual factor mortality explanation were used to assess factors related to in-hospital mortality. Results : 14.9% of patients died postoperatively. In univariate analysis, increased risk of death was related to the Glasgow Coma Scale score, WFNS score, Hunt-Hess and Fisher grade, preoperative neurological deficit, delayed cerebral ischaemia (DCI), trapping and bypass operative method. Multivariate analysis revealed two independent predictors of in-hospital mortality: DCI and Hunt-Hess grade. 91% of mortality risk was attributed to grade 4 or 5 in Hunt-Hess scale and DCI. The dominant predictor of survival was the Hunt-Hess scale. Increase by one grade in the Hunt-Hess scale resulted in two-fold increase of in-hospital mortality risk. Conclusions : Postoperative mortality after ICA aneurysm rupture is determined by clinical status at admission and the occurrence of DCI. |
| | |
Authors:
|
Tomasz Szmuda; Paweł Słoniewski; Jarosław Dzierżanowski; Marcin Rut |
Related Documents
:
|
9853164 - Percutaneous transluminal angioplasty and enclosed thrombolysis versus percutaneous tra... 8173994 - Percutaneous excimer laser coronary angioplasty: animal models and the first human expe... 11566674 - Nonresectable hepatocellular carcinoma: improved percutaneous ethanol injection therapy... 21647474 - Clinical inquiry: how should we use the coronary artery calcium score to predict cardio... 16490554 - Long-term central venous catheters: size and location do matter. 12797024 - Fetal renal artery blood velocimetry in multicystic kidney disease. |
Publication Detail:
|
Type: JOURNAL ARTICLE |
Journal Detail:
|
Title: Neurologia i neurochirurgia polska Volume: 45 ISSN: 0028-3843 ISO Abbreviation: - Publication Date: 2011 |
Date Detail:
|
Created Date: 2012-1-3 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0101265 Medline TA: Neurol Neurochir Pol Country: - |
Other Details:
|
Languages: ENG Pagination: 543-555 Citation Subset: - |
Affiliation:
|
Tomasz Szmuda, Katedra i Klinika Neurochirurgii, Gdański Uniwersytet Medyczny, ul. Dębinki 7, 80-952 Gdańsk, phone +48 58 349 23 30, fax +48 58 345 58 88, e-mail: tszmuda@gumed.edu.pl. |
Vernacular Title:
|
Czynniki rokownicze śmiertelności po operacji pękniętych tętniaków tętnicy szyjnej wewnętrznej. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Sex hormone patterns in women with multiple sclerosis as related to disease activity - a pilot study...
Next Document: Sonographic diagnosis of carpal tunnel syndrome - diagnostic value of the triangular cross-section s...