Key result
Endovascular coiling was independently associated with a significantly lower risk of poor functional outcome at 90 days (OR 0.033) compared to no aneurysm repair in patients with aneurysmal subarachnoid hemorrhage.
Why the study?
The prevalence of risk factors for poor outcomes from aneurysmal subarachnoid hemorrhage varies widely and had not been fully elucidated in Vietnam.
Cohort (n=168)
Yes
Odds Ratio: 0.033 (95% CI 0.005–0.235)
Absolute Event Rate: 20.3% vs 84.6%
p-value: p=0.001
In a Vietnamese cohort with aneurysmal SAH, poor outcomes at 90 days were common (33.9%) and strongly associated with higher initial WFNS grades, late rebleeding, and delayed cerebral ischemia, while aneurysm repair was protective.
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WFNS IV-V and lack of repair linked to poor SAH outcomes in Vietnam; leaves open need for prospective trials before practice change.
Luong et al. (2021) conducted a cohort in Aneurysmal subarachnoid hemorrhage (n=168). Endovascular coiling vs. No aneurysm repair was evaluated on Poor outcome (modified Rankin Scale 4-6) at 90 days (OR 0.033, 95% CI 0.005-0.235, p=0.001). Endovascular coiling was independently associated with a significantly lower risk of poor functional outcome at 90 days (OR 0.033) compared to no aneurysm repair in patients with aneurysmal subarachnoid hemorrhage.
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