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Treatment delay from aneurysmal subarachnoid hemorrhage to endovascular treatment:a high-volume hospital experience

Chinese Neurosurgical Journal 2021年第4期7卷 258-264页

作者： Xiaoxi Zhang Haishuang Tang Qiao Zuo Gaici Xue Guoli Duan Yi Xu Bo Hong Rui Zhao Pengfei Yang Jianmin Liu Qinghai Huang Department of Neurosurgery Changhai HospitalNaval Military Medical University168 Changhai RdShanghai 200433People’s Republic of China Naval Medical Center of PLA Naval Military Medical UniversityShanghai 200050People’s Republic of China

Background:Early treatment for patients with aneurysmal subarachnoid hemorrhage(aSAH)could significantly reduce the risk of re-bleeding and improve clinical *** assessed the different time intervals from the initial hemorrhage,admission,and endovascular treatment and identified the risk factors contributing to ***:Between February 2017 and December 2019,422 consecutive aSAH patients treated in a high-volume hospital were collected and *** factors contributing to admission delay and treatment delay were analyzed with univariate and multivariate ***:One hundred twenty-two(28.9%)were admitted to the high-volume hospital at the day of symptom onset and 386(91.5%)were treated with endovascular management at the same day of *** multivariate analysis found that younger age(P=0.022,OR=0.981,95%CI 0.964–0.997)and good Fisher score(P=0.002,OR=0.420,95%CI 0.245–0.721)were independent risk factors of admission *** was found to be related with treatment *** analysis(OR(95%CI))showed that higher age 1.027(1.004–1.050),poorer Fisher score 3.496(1.993–6.135),larger aneurysmal size 1.112(1.017–1.216),and shorter interval between onset to admission 1.845(1.018–3.344)were independent risk factors of poorer clinical ***:Treatment delay was mainly caused by pre-hospital delay including delayed admission and delayed *** experience showed that cerebrovascular team could provide early treatment for aSAH *** age and good Fisher score were significantly related with admission ***,admission delay was further significantly correlated with better clinical outcome.

关键词： Intracranial aneurysm Rupture coiling with stent placement Procedure-related complication Safety

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