Patient characteristics and pre-operative therapeutic modalities

A Spallone; A Pasqualin; N F Kassel; J C Torner; A Benedetti; R Da Pian; B Guidetti; G Marini; S Mingrino; F Pluchino

Patient characteristics and pre-operative therapeutic modalities

Journal article

Peer reviewed

Patient characteristics and pre-operative therapeutic modalities

A Spallone, A Pasqualin, N F Kassel, J C Torner, A Benedetti, R Da Pian, B Guidetti, G Marini, S Mingrino and F Pluchino

Journal of neurosurgical sciences, Vol.32(1), pp.1-11

01/1988

PMID: 3404249

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Abstract

The International Cooperative Study on the Timing of Aneurysm Surgery included 68 participating centers from 16 different countries. Eight Italian neurosurgical units participated in the Study: Bellaria Hospital, Bologna; Neurological Institute of Milan, Milan; University Hospital, Brescia; University of Milan, Milan; University of Padova, Padova; University of Rome, Rome; Civil Hospital, Verona; and Civil Hospital, Vicenza. The overall case contribution from the Italian centers was 485 cases, 14.1% of the total study population. As compared to the other centers included in the Study, the Italian centers exhibited a higher percentage of patients with impaired consciousness; a later interval of planned surgery from SAH; frequent use of preoperative lumbar drainage, as well as antihypertensives, anticonvulsants, antifibrinolytics, steroids, diuretics and LMW dextran; and less frequent use of sedatives and narcotics. The individual Italian centers differed significantly in regard to patient characteristics and preoperative therapeutic modalities. There was a relatively high number of stuporous or comatose patients admitted to Centers 1, 7 and 8, very few admitted to Centers 5 and 6, and none admitted to Center 2. The different distribution of key prognostic factors prevents a direct comparison of the overall management results of the centers. A stratification of the patients according to a risk scale and/or a prognostic model is required for comparison of the management results.

Italy

Subarachnoid Hemorrhage - epidemiology

Humans

Middle Aged

Risk Factors

Female

Male

International Cooperation

Intracranial Aneurysm - epidemiology

Subarachnoid Hemorrhage - surgery

Intracranial Aneurysm - surgery

Details

Title: Subtitle: Patient characteristics and pre-operative therapeutic modalities
Creators: A Spallone - Department of Neurological Surgery, University of Virginia School of Medicine, Charlottesville
A Pasqualin
N F Kassel
J C Torner
A Benedetti
R Da Pian
B Guidetti
G Marini
S Mingrino
F Pluchino
Resource Type: Journal article
Publication Details: Journal of neurosurgical sciences, Vol.32(1), pp.1-11
PMID: 3404249
NLM abbreviation: J Neurosurg Sci
ISSN: 0390-5616
Publisher: Italy
Grant note: NS15940 / NINDS NIH HHS
Language: English
Date published: 01/1988
Academic Unit: Epidemiology; Surgery; Injury Prevention Research Center; Neurosurgery
Record Identifier: 9983996092002771

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