Why the study?
What are the outcomes of ultra-early surgery for aneurysmal subarachnoid hemorrhage in an unselected patient population?
Population
391 consecutive patients with aneurysmal subarachnoid hemorrhage, unselected by grade or age.
Design
Cohort
Follow-up
3 months
Authors
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Suggests potential benefit of ultra-early surgery in good-grade aSAH; leaves open role in poor-grade cases pending RCTs.
What are the outcomes of ultra-early surgery for aneurysmal subarachnoid hemorrhage in an unselected patient population?
Ultra-early surgery for aneurysmal subarachnoid hemorrhage yields high rates of independence in good-grade patients and acceptable outcomes in poor-grade patients, addressing the high risk of early rebleeding.
Laidlaw et al. (2002) studied this question.
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