The effects of timing of aneurysm surgery on vasospasm and mortality in patients with Subarachnoid Hemorrhage

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dc.contributor.authorDalbayrak, S.
dc.contributor.authorAltas, M.
dc.contributor.authorArslan, R.
dc.date.accessioned2024-09-18T20:59:09Z
dc.date.available2024-09-18T20:59:09Z
dc.date.issued2011
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjective: The purpose of the present study was to compare the effects of early and late surgery on postoperative vasospasm and mortality in patients with subarachnoid hemorrhage (SA H). Methods: The data of patients with SAH who underwent aneurysmal clipping at the Kartal Training and Research Hospital between 1999 and 2005 were retrospectively analyzed. The patients who underwent early (03 days) and late surgery >= 4 days) were evaluated as two groups. Patient outcomes were assessed 1 month after surgery. Results: Of 159 patients (mean age, 49 years; 71 males) with SAHs, 135 (mean age, 51 years; 55 males) underwent early surgery and 24 patients (mean age, 56 years; 16 males) underwent late surgery. The overall postoperative vasospasm rate was 10.7%. The rate of postoperative vasospasm was significantly higher in the late surgery group (41.7%) compared to the early surgery group (5.2%; p < 0.001). There were 15 post-operative deaths (9.4%). The mortality rate in the late surgery group (25.0%) was significantly higher than the early surgery group (6.7%; p = 0.005). Conclusions: The present study has demonstrated that early surgery is advantageous over late surgery in patients with SAH with lower post-operative vasospasm and mortality rates.en_US
dc.identifier.endpage320en_US
dc.identifier.issn0300-9009
dc.identifier.issue4en_US
dc.identifier.pmid22368972en_US
dc.identifier.startpage317en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12420
dc.identifier.volume111en_US
dc.identifier.wosWOS:000299907100010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherActa Medica Belgicaen_US
dc.relation.ispartofActa Neurologica Belgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSubarachnoid hemorrhageen_US
dc.subjecttiming of aneurysmal surgeryen_US
dc.subjectintracranial aneurysmsen_US
dc.subjectoutcomesen_US
dc.subjectvasospasmen_US
dc.subjectmortalityen_US
dc.titleThe effects of timing of aneurysm surgery on vasospasm and mortality in patients with Subarachnoid Hemorrhageen_US
dc.typeArticleen_US

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