Predictors of Symptomatic Vasospasm After Subarachnoid Hemorrhage: A Single Center Study of 457 Consecutive Cases

Norbert Kozak, D. Bereczki, Sándor Szabo

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

AIM: We set forth to identify predictors of symptomatic vasospasm in patients with subarachnoid hemorrhage (SAH).

MATERIAL AND METHODS: We used multivariate logistic regression analysis of the prospective, hospital based, single center register of the Department of Neurosurgery, University of Debrecen, Hungary. Evaluated patients' characteristics were: sex, age, Hunt-Hess grade on admission, location of aneurysm, thickness of blood clot on initial CT scan (Fisher grade), hypertension.

RESULTS: Between 1987 and 2004, 567 SAH cases were registered, 457 were included in this study. Symptomatic vasospasm developed in 22.5% of the cases. In univariate analysis, Hunt-Hess grades 2 and 3 and female sex were predictive for symptomatic vasospasm. In multivariate analysis, female sex remained a significant predictor: OR: 1.8 (1.005-3.2).

CONCLUSION: Women are at more danger of developing symptomatic vasospasm after subarachnoid hemorrhage.

Original languageEnglish
Pages (from-to)545-549
Number of pages5
JournalTurkish Neurosurgery
Volume26
Issue number4
DOIs
Publication statusPublished - Jan 1 2016

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Subarachnoid Hemorrhage
Hungary
Neurosurgery
Sex Characteristics
Aneurysm
Thrombosis
Multivariate Analysis
Logistic Models
Regression Analysis
Hypertension

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Predictors of Symptomatic Vasospasm After Subarachnoid Hemorrhage : A Single Center Study of 457 Consecutive Cases. / Kozak, Norbert; Bereczki, D.; Szabo, Sándor.

In: Turkish Neurosurgery, Vol. 26, No. 4, 01.01.2016, p. 545-549.

Research output: Contribution to journalArticle

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abstract = "AIM: We set forth to identify predictors of symptomatic vasospasm in patients with subarachnoid hemorrhage (SAH).MATERIAL AND METHODS: We used multivariate logistic regression analysis of the prospective, hospital based, single center register of the Department of Neurosurgery, University of Debrecen, Hungary. Evaluated patients' characteristics were: sex, age, Hunt-Hess grade on admission, location of aneurysm, thickness of blood clot on initial CT scan (Fisher grade), hypertension.RESULTS: Between 1987 and 2004, 567 SAH cases were registered, 457 were included in this study. Symptomatic vasospasm developed in 22.5{\%} of the cases. In univariate analysis, Hunt-Hess grades 2 and 3 and female sex were predictive for symptomatic vasospasm. In multivariate analysis, female sex remained a significant predictor: OR: 1.8 (1.005-3.2).CONCLUSION: Women are at more danger of developing symptomatic vasospasm after subarachnoid hemorrhage.",
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