Abstract
Background and Purpose: We evaluated the present situation of the prognosis and the rate of home return in patients with aneurysmal subarachnoid hemorrhage (SAH) in our hospital. Methods: The 183 out of 253 SAH patients who underwent surgical treatments in our hospital from January 2010 to December 2013 were included in this study. Clinical data of the patients were collected from the Database of Referral System for Stroke in Kumamoto. Results: The median age of the patients was 64 years and 70% of them were women. On admission, 72.7% patients were present under grade III in World Federation of Neurosurgical Surgeons (WFNS) grading and there were 86.3% in CT Fisher group 3. A part of patients suffered from symptomatic vasospasm (19.9%), cerebral infarction (16.6%), and hydrocephalus (16%) with surgical treatments. The patients with good recovery and moderate disability at discharge from our hospital were 73.2%, and 73.1% of SAH patients could return to their home. Over the age of 80, WFNS grading, symptomatic vasospasm, cerebral infarction, and hydrocephalus were independent factors regarding the determinant factor for the home return. Conclusion: Although the prognosis of SAH is thought to be poor, our patients showed relatively good course at discharge. We suggest that it is important to carry out a multidisciplinary therapy against cerebral vasospasm, cerebral infarction, and hydrocephalus, all of which were determinant factors for the prognosis of our patients. In addition, it is also important to establish a seamless rehabilitation in recovery phase of the patients.
