Prognostic Factors in Patients who Underwent Aneurysmal Clipping due to Spontaneous Subarachnoid Hemorrhage

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dc.authoridOrakdogen, Metin/0000-0002-9395-2902
dc.contributor.authorOrakdogen, Metin
dc.contributor.authorEmon, Selin Tural
dc.contributor.authorSomay, Hakan
dc.contributor.authorEngin, Taner
dc.contributor.authorAteş, Özkan
dc.contributor.authorBerkman, Mehmet Zafer
dc.date.accessioned2025-03-26T17:35:09Z
dc.date.available2025-03-26T17:35:09Z
dc.date.issued2016
dc.departmentİstanbul Esenyurt Üniversitesi
dc.description.abstractAIM: Despite technical and medical advances, aneurysmal subarachnoid hemorrhages (SAH) continue to be a challenging pathology, associated with high rates of morbidity and mortality. In this regard, a definition is required of the various prognostic indicators of an SAH. The aim of the present retrospective study is to examine the various prognostic factors of the clinical outcomes of the patients who underwent a neurosurgical clipping of aneurysms due to aneurysmal SAH. MATERIAL and METHODS: The data of 104 patients that had suffered an aneurysmal SAH were analyzed. The baseline demographic, clinical and radiological data were all analyzed. The prognostic study was derived from an analysis of these variables. Relationship between prognostic factors and outcome was evaluated by univariate and logistic multivariate regression analysis. RESULTS: This study has identified unfavorable outcomes on the Glasgow Outcome Scale at discharge after the surgical treatment of aneurysmal SAH associated with increased age, poor World Federation of Neurosurgical Societies (WFNS) grade on admission, higher Fisher's grade on admission computed tomography scan, larger aneurysm, and clinical vasospasm. In a multivariate logistic regression analysis, age, high WFNS grade, positive clinical vasospasm and size of aneurysm were found to be independent risk factors for mortality. The presence of hydrocephalus, number of aneurysms, positive risk factors, and the presence of Doppler vasospasm did not reach statistical significance. CONCLUSION: The most important prognostic factors in patients undergoing surgery due to aneurysmal subarachnoid hemorrhage were WFNS grade, age, size of aneurysm and clinical vasospasm.
dc.identifier.doi10.5137/1019-5149.JTN.13654-14.1
dc.identifier.endpage848
dc.identifier.issn1019-5149
dc.identifier.issue6
dc.identifier.pmid27476918
dc.identifier.scopus2-s2.0-85016013848
dc.identifier.scopusqualityQ3
dc.identifier.startpage840
dc.identifier.trdizinid207313
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.13654-14.1
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/207313
dc.identifier.urihttps://hdl.handle.net/20.500.14704/1062
dc.identifier.volume26
dc.identifier.wosWOS:000387302000006
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Neurosurgical Soc
dc.relation.ispartofTurkish Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250326
dc.subjectAneurysmal clipping surgery; Aneurysmal subarachnoid hemorrhages; Morbidity; Mortality; Prognostic factor
dc.titlePrognostic Factors in Patients who Underwent Aneurysmal Clipping due to Spontaneous Subarachnoid Hemorrhage
dc.typeArticle

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