Analysis of delayed cerebral ischemia incidence after treatment for aneurysmal subarachnoid hemorrhage in young adults: A cohort study.

Surgical neurology international Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI:10.25259/SNI_648_2024

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

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Abstract

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.

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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。

背景：本研究旨在分析动脉瘤性蛛网膜下腔出血患者延迟性脑缺血（DCI）的发生率和按年龄分层的预后。方法：采用2014 - 2020年基督救赎医院住院患者为研究对象，将359例患者分为2组，其中40岁以下患者48例，40岁及以上患者311例。结果：40岁以下患者DCI发生率为81.3%，40岁及以上患者DCI发生率为61.4%。相对危险度为1.32（置信区间为1.12-1.55），P = 0.013。经过多因素评估，发现年龄在40岁以下的患者出现DCI的风险高出27-39%。结论：我们确定年龄在40岁以下是发生DCI的危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Surgical neurology international

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