ISSN: 1305-9327

 
 

VOLUME: 13 NUMBER: 4
 
 

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4 - Factors affecting mortality in subarachnoid hemorrhage
   
Volkan Erdoğan, Akkan Avcı
   
  ABSTRACT
   
  Objective: Subarachnoid hemorrhage (SAH) is an important emergency that should be early diagnosed and treated. It can be spontaneous or traumatic; has severe complications and high mortality and morbidity rates. In our study, we aimed to establish whether is there a relationship in between duration of hospitalization and mortality rate with risk factors, medical history, etiological properties and hematologic parameters at patients whose was diagnosed spontaneous or traumatic SAH at our emergency service.

Material and Method: In our research, we included 150 patients who come or referred to Adana Numune Education and Research Hospital, Emergency Medicine Clinic between 1 August 2014 and 1 August 2016, above the age of 18 and diagnosed spontaneous or traumatic SAH.

Results: Overall 150 SAH diagnosed patient were analyzed retrospectively. In our research %70 (n=105) of 150 cases were spontaneous SAH, %30 (n=45) were traumatic SAH, %60 (n=90) were male, %40 (n=60) were female. Average age of all patients was 54.5±15.7. In the group of died patients in our study, we detected that; age, medical drug using, rate of positive feature at medical history, sudden change of mental status, hemiparesis, abnormal electrocardiographic (ECG) features, Fisher and Hunt-Hess scores were seen significantly higher (p<0.05).

Conclusion: We observed that; age, sudden change of mental status, Fisher and Hunt-Hess scores are significant- independent parameters to predict mortality.
   
  Keywords
  Emergency, mortality, subarachnoid hemorrhage
   
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