破裂脳動脈瘤急性期のGradingとOutcome

抄録

Despite the advances in investigation techniques such as computed tomography (CT), etc., the management of individual patients with subarachnoid hemorrhage (SAH) due to aneurysm rupture still depends greatly on assessment of the patient's clinical condition. This is because the likely outcome is closely related to the severity of the patient's clinical state. Several systems for grading patients with SAH have been proposed, among them Hunt's has been mostly used in many neurosurgical centers.
This is a proposal for grading of SAH due to aneurysm rupture based on Hunt's grading.
In this grading, the Glasgow Coma Scale (GCS) and the so-called Japan Coma Scale are used to express the level of consciousness.
This new grading system is clear in description of the patient's condition, will produce less observer variability, and may be useful prognostically.