Delayed diagnosis in subarachnoid haemorrhage
作者:
Betty S H Chan,
Nicholas W C Dorsch,
期刊:
Medical Journal of Australia
(WILEY Available online 1991)
卷期:
Volume 154,
issue 8
页码: 509-511
ISSN:0025-729X
年代: 1991
DOI:10.5694/j.1326-5377.1991.tb119442.x
出版商: Wiley
数据来源: WILEY
摘要:
Objective:To determine the outcome in patients with subarachnoid haemorrhage from a ruptured aneurysm, particularly in those in who,“ the diagnosis w.as delayed.Design:A two‐year retrospective study of medical records of patients admitted to Westmead Hospital between July 1988 and June 1989.Setting:A tertiary level teaching hospital.Patients:Ninety‐four patients treated for subarachnoid haemorrhage. In 15 cases the diagnosis was delayed.Main outcome measures:Death, disability, or functional recovery.Results:Overall, 40 (42.5%) patients died, 14 (15%) were disabled, and 40 made a functional recovery. Of the 62 patients who were treated surgically 38 (61%) made a functional recovery compared with two of the 32 (6%) who were not. Of the 15 in whom the diagnosis was delayed seven (47%) made a functional recovery. Confirmation of the diagnosis was delayed in four of the latter group because a cranial computed tomography scan showed no abnormalities.Conclusions:Earlier diagnosis, allowing early definitive surgical treatment, may improve the outcome in aneurysmal subarachnoid haemorrhage; The results ofa computed tomography scan are diagnostic only if they are positive ‐ a negative result must be interpreted in conjunction with the clinical picture.
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