September 28, 2010Neurosurgery
Intraventricular Hemorrhage Volume Predicts Poor Outcomes But Not Delayed Ischemic Neurological Deficits Among Patients With Ruptured Cerebral Aneurysms
Why the study?
Does higher intraventricular hemorrhage volume predict poor outcomes or delayed ischemic neurological deficits in patients with ruptured cerebral aneurysms?
Population
152 consecutive patients with concomitant aneurysmal subarachnoid hemorrhage and intraventricular hemorrhage
Comparison
Higher intraventricular hemorrhage volume vs Lower intraventricular hemorrhage (IVH) volume
Design
Cohort
Authors
Discussion
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Member takes
Implication
IVH volume may aid aSAH risk stratification independent of DIND; leaves open whether volume reduction improves outcomes.
Structured PICO
Does higher intraventricular hemorrhage volume predict poor outcomes or delayed ischemic neurological deficits in patients with ruptured cerebral aneurysms?
P
Population
152 consecutive patients with concomitant aneurysmal subarachnoid hemorrhage (SAH) and intraventricular hemorrhage (IVH)
I
Intervention
Higher intraventricular hemorrhage (IVH) volume (measured in mL using IVH Score)
C
Comparator
Lower intraventricular hemorrhage (IVH) volume
O
Outcome
Development of delayed ischemic neurological deficits (DINDs), delayed cerebral infarction, death, and poor neurological outcomeshard clinical
Higher intraventricular hemorrhage volume independently predicts poor neurological outcomes in patients with aneurysmal subarachnoid hemorrhage, but this is not mediated by an increased risk of delayed ischemic neurological deficits.
Cite This Study
Kramer et al. (2010) studied this question.