Impact of Medical Treatment on the Outcome of Patients After Aneurysmal Subarachnoid Hemorrhage | Zendy

Frédérique H Vermeij | Zendy; Djo Hasan | Zendy; Henk W. C. Bijvoet | Zendy; C. J. J. Avezaat | Zendy

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Impact of Medical Treatment on the Outcome of Patients After Aneurysmal Subarachnoid Hemorrhage

Author(s) -

Frédérique H Vermeij,

Djo Hasan,

Henk W. C. Bijvoet,

C. J. J. Avezaat

Publication year - 1998

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/01.str.29.5.924

Subject(s) - medicine , subarachnoid hemorrhage , aneurysm , stroke (engine) , surgery , medical therapy , mechanical engineering , engineering

The rationale behind early aneurysm surgery in patients with subarachnoid hemorrhage (SAH) is the prevention of rebleeding as early as possible after SAH. In addition, by clipping the aneurysm as early as possible, one can apply treatment for cerebral ischemia more vigorously (induced hypertension) without the risk of rebleeding. Hypervolemic hemodilution is now a well-accepted treatment for delayed cerebral ischemia. We compared the prospectively collected clinical data and outcome of patients admitted to the intensive care unit in the period 1977 to 1982 with those of patients admitted in the period 1989 to 1992 to measure the effect of the change in medical management procedures on patients admitted in our hospital with SAH.

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