Characteristics and outcome of patients with subarachnoid hemorrhage in our emergency department; Possibility of the aggressive treatment of severe cases

Abstract

The purpose of this study was to analyze the tendency of patients with subarachnoid hemorrhage in our emergency department and to determine the risk factors to influence an unfavarouble outcome. Two hundred twelve patients with subarachnoid hemorrhage patients, including 73 with out-of-hospital cardiac arrest, were evaluated from November, 2015 to December, 2020. Mean age 64±15, female 133 patients (63%), WFNS grade I (2%), II (6%), III (3%), IV (11%), V (77%). It was more a lot than the frequency that vertebral artery dissociation patients (15.2%) was reported. Age, respiratory disorder, absent pupillary reflex, severe hydrocephalus, severe intraventricular hemorrhage, WFNS grade IV, V were significant unfavarouble prognostic factors (p<0.05). Although patients with subarachnoid hemorrhage in our emergency department were critically ill, our patients were relatively favarouble outcome by treatment interventing from an early stage. All patients with severe hydrocephalus, severe intraventricular hemorrhage were unfavarouble outcome.