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뇌동맥류성 지주막하출혈 환자에서 증상적 혈관 연축과 예후에 관여하는 요소들에 대한 분석

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Author(s)
백운일임만빈이창영이장철손은익김동원김인홍Woon Il BaekMan Bin YimChang Young LeeJang Chull LeeEun Ik SonDong Won KimIn Hong Kim
Keimyung Author(s)
Yim, Man BinLee, Chang YoungLee, Jang ChullSon, Eun IkKim, Dong WonKim, In Hong
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
대한신경외과학회지
Issued Date
1997
Volume
26
Issue
6
Abstract
Symptomatic vasospasm is still one of the major causes of death and disability in patients who suffer an aneurysmal subarachnoid hemorrhage(SAH). To identify risk factors related to symptomatic vasospasm, to determine the outcome in patients with SAH, and to determine the differences identified risk factors between patients with good and bad outcomes, we performed this retrospective study.
From a total of 279 SAH patients who were admitted to our hospital between January 1993 and December 1995, 212 were chosen for study. These were patients who had been admitted within 7 days of SAH, had undergone brain computed tomography(CT) within 3 days of SAH and had survived more than 6 days after SAH.
Nine variables were examined as to their relationship to symptomatic vasospasm:age, sex, admission day after SAH, hypertension history, frequency of SAH, clinical grade, CT grade, operation day after SAH, and outcome. Data were analyzed by the univariate and multivariate logistic regression method using the Statistical Analysis System(SAS).
Symptomatic vasospasm was demonstrated in 30 cases(14.2%). Univariate analysis showed that admission more than 4 days after SAH(p=0.07), clinical grades Ⅲ-Ⅴ(p=0.001), and CT grade Ⅲ(p=0.00001) were associated with a higher risk of symptomatic vasospasm. When study cases were grouped into either good or bad outcome groups, and multivariate logistic regression analysis was performed, these factors were associated with a higher risk of symptomatic vasospasm only in the good outcome group.
This suggests that there is a group of patients with a predisposition to symptomatic vasospasm that is independent of these risk factors, and that in these patients, the outcome may be worse.
Alternative Title
An Analysis of Factors Related to Symptomatic Vasospasm and Outcome in Patients with Aneurysmal Subarachnoid Hemorrhage
Keimyung Author(s)(Kor)
임만빈
이창영
이장철
손은익
김동원
김인홍
Publisher
School of Medicine
Citation
백운일 et al. (1997). 뇌동맥류성 지주막하출혈 환자에서 증상적 혈관 연축과 예후에 관여하는 요소들에 대한 분석. 대한신경외과학회지, 26(6), 814–821.
Type
Article
ISSN
1225-8245
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39053
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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