• T J Coyne and G G Stuart.
• Kenneth G Jamieson Neurological Unit, Royal Brisbane Hospital, Herston, QLD.
• Med. J. Aust. 1991 Apr 15; 154 (8): 506-9.

ObjectiveTo analyse the demographic characteristics and outcomes of patients with rupture of an intracranial aneurysm--to make a comparison with other published results, and to determine whether improvements in management can be made.DesignA retrospective review of the records of a consecutive series of 102 patients admitted to a neurosurgical unit in 1988 and 1989.SettingThe Royal Brisbane Hospital neurosurgical unit.PatientsSixty-three women and 39 men with subarachnoid haemorrhage after rupture of an intracranial aneurysm.Main ResultsSixty-three patients achieved independence and 32 died. Of those 78 patients who were able to be offered surgery, 60 (77%) became independent. The outcome was significantly influenced by the neurological condition of the patient on admission to hospital (P less than 0.01).ConclusionA speedier referral of these patients to a neurosurgical unit may lead to an improvement in outcome.

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