Willian Pegoraro Kus, Felipe Pereira Furtado, Yasmin de França, Roberta Camatti, João Pedro Einsfeld Britz, Vanio Do Livramento Junior Antunes, Luciane Kopittke, Paulo Valdeci Worm
{"title":"年轻人动脉瘤性蛛网膜下腔出血治疗后迟发性脑缺血发生率分析:一项队列研究。","authors":"Willian Pegoraro Kus, Felipe Pereira Furtado, Yasmin de França, Roberta Camatti, João Pedro Einsfeld Britz, Vanio Do Livramento Junior Antunes, Luciane Kopittke, Paulo Valdeci Worm","doi":"10.25259/SNI_648_2024","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study aimed to analyze the incidence of delayed cerebral ischemia (DCI) and outcome stratified by age in patients who suffered aneurysmal subarachnoid hemorrhage.</p><p><strong>Methods: </strong>A cohort study with patients from Christ the Redeemer Hospital from 2014 to 2020, with 359 patients separated into 2 groups, 48 of them aged under 40 years and 311 aged 40 years or over.</p><p><strong>Results: </strong>In patients under 40 years of age, DCI was found in 81.3%, while in patients aged 40 or over, it was 61.4%. A relative risk of 1.32 (confidence interval: 1.12-1.55), with <i>P</i> = 0.013. After multivariate assessment, patients aged under 40 years were found to have a 27-39% higher risk of presenting DCI.</p><p><strong>Conclusion: </strong>We identified that age under 40 years is a risk factor for the occurrence of DCI.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"15 ","pages":"449"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704440/pdf/","citationCount":"0","resultStr":"{\"title\":\"Analysis of delayed cerebral ischemia incidence after treatment for aneurysmal subarachnoid hemorrhage in young adults: A cohort study.\",\"authors\":\"Willian Pegoraro Kus, Felipe Pereira Furtado, Yasmin de França, Roberta Camatti, João Pedro Einsfeld Britz, Vanio Do Livramento Junior Antunes, Luciane Kopittke, Paulo Valdeci Worm\",\"doi\":\"10.25259/SNI_648_2024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>This study aimed to analyze the incidence of delayed cerebral ischemia (DCI) and outcome stratified by age in patients who suffered aneurysmal subarachnoid hemorrhage.</p><p><strong>Methods: </strong>A cohort study with patients from Christ the Redeemer Hospital from 2014 to 2020, with 359 patients separated into 2 groups, 48 of them aged under 40 years and 311 aged 40 years or over.</p><p><strong>Results: </strong>In patients under 40 years of age, DCI was found in 81.3%, while in patients aged 40 or over, it was 61.4%. A relative risk of 1.32 (confidence interval: 1.12-1.55), with <i>P</i> = 0.013. After multivariate assessment, patients aged under 40 years were found to have a 27-39% higher risk of presenting DCI.</p><p><strong>Conclusion: </strong>We identified that age under 40 years is a risk factor for the occurrence of DCI.</p>\",\"PeriodicalId\":94217,\"journal\":{\"name\":\"Surgical neurology international\",\"volume\":\"15 \",\"pages\":\"449\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-12-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704440/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgical neurology international\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.25259/SNI_648_2024\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical neurology international","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25259/SNI_648_2024","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Analysis of delayed cerebral ischemia incidence after treatment for aneurysmal subarachnoid hemorrhage in young adults: A cohort study.
Background: This study aimed to analyze the incidence of delayed cerebral ischemia (DCI) and outcome stratified by age in patients who suffered aneurysmal subarachnoid hemorrhage.
Methods: A cohort study with patients from Christ the Redeemer Hospital from 2014 to 2020, with 359 patients separated into 2 groups, 48 of them aged under 40 years and 311 aged 40 years or over.
Results: In patients under 40 years of age, DCI was found in 81.3%, while in patients aged 40 or over, it was 61.4%. A relative risk of 1.32 (confidence interval: 1.12-1.55), with P = 0.013. After multivariate assessment, patients aged under 40 years were found to have a 27-39% higher risk of presenting DCI.
Conclusion: We identified that age under 40 years is a risk factor for the occurrence of DCI.