Neurosurgery
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Multicenter Study
Variation in Patient Characteristics and Outcomes Between Early and Delayed Surgery in Poor-Grade Aneurysmal Subarachnoid Hemorrhage.
There is no consensus regarding the optimal timing for surgery for poor-grade aneurysmal subarachnoid hemorrhage. ⋯ Although patients with brain herniation and a lower Fisher grade were more likely to undergo early surgery, there was a slight trend toward an excellent outcome in the early surgery group. Patients with a younger age, World Federation of Neurosurgical Societies grade IV after resuscitation, and middle cerebral artery aneurysms were more likely to experience an excellent outcome.
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Observational Study
Predictors of Poor Quality of Life 1 Year After Subarachnoid Hemorrhage.
Risk factors for poor quality of life (QOL) after subarachnoid hemorrhage (SAH) remain poorly described. ⋯ Reduced QOL affects as many as one-third of SAH survivors 1 year after SAH. Delayed infarction is the most important in-hospital modifiable factor that affects QOL. Increased attention to cognitive and emotional difficulties after hospital discharge may help patients achieve greater QOL.