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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
|
| pubmed:dateCreated |
1997-5-14
|
| pubmed:abstractText |
The objectives of this study were to determine how quickly patients who have an aneurysmal subarachnoid haemorrhage are diagnosed and referred to a regional neurosurgical unit for assessment and management. We examined whether delayed diagnosis resulted in poorer management outcome and how such delays could and should be avoided. An in-depth analysis of pre-hospital and hospital management of 180 consecutive patients with an aneurysmal subarachnoid haemorrhage was carried out at the Wessex Neurological Centre, a regional neuro-surgical unit with a catchment population of 2.8 million people. One hundred and eighty patients with a proven (computed tomography and/or lumbar puncture) aneurysmal subarachnoid haemorrhage were studied. The main outcome measures were management of mortality and morbidity using the Glasgow Outcome Scale (three months to one year follow-up period). Of the 180 patients, 136 were suitable for the study. Diagnosis was delayed in 69 (51%). In this group, failure to recognise this condition resulted in 45 patients (65%) suffering a second or third haemorrhage before being diagnosed. As a direct consequence of this delay significantly more patients died or were severely disabled than those whose haemorrhage was diagnosed without delay (chi 2 = 8.27, p < 0.005). Delays in diagnosis and transfer to a neurosurgical unit are largely avoidable.
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| pubmed:commentsCorrections | |
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
0035-8819
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
31
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
49-52
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:9044198-Adolescent,
pubmed-meshheading:9044198-Adult,
pubmed-meshheading:9044198-Aged,
pubmed-meshheading:9044198-Child,
pubmed-meshheading:9044198-Female,
pubmed-meshheading:9044198-Humans,
pubmed-meshheading:9044198-Intracranial Aneurysm,
pubmed-meshheading:9044198-Male,
pubmed-meshheading:9044198-Middle Aged,
pubmed-meshheading:9044198-Subarachnoid Hemorrhage,
pubmed-meshheading:9044198-Time Factors,
pubmed-meshheading:9044198-Treatment Outcome
|
| pubmed:articleTitle |
'Brain attack'--aneurysmal subarachnoid haemorrhage: death due to delayed diagnosis.
|
| pubmed:affiliation |
Wessex Neurological Centre, Southampton University Hospitals.
|
| pubmed:publicationType |
Journal Article
|