Aneurysmal Subarachnoid Hemorrhage; Early Surgery; Neurosurgeons Experience; Patient Outcome
Year: 2024
Type: article
Study design: Observational Study
Abstract: BACKGROUND: This study examined the impact of neurosurgeons' experience on surgical timing and outcomes in aneurysmal subarachnoid hemorrhage (aSAH) and questioned the adherence to early surgery as recommended by recent guidelines. METHODS: test, t-test, analysis of variance, and logistic regression, with significance set at P < 0.05. RESULTS: Of the patients, 50.5% were female, with an average age of 55.1 ± 13.2 years. Early surgery was associated with lower GCS scores and lower surgical experience (GCS odds ratio [OR] 1.405, P = 0.025; experience OR 19.199, P < 0.001). Post-ND rates were 13%, 36.1%, and 21.2% in groups 1, 2, and 3, respectively (P = 0.007). Mortality-related factors included rebleeding (OR 2.625, P = 0.033), neurological deterioration (OR 3.443, P = 0.004), and hydrocephalus (OR 3.408, P = 0.02). Outcomes of Group 1 were found to be superior to the other 2 groups in terms of post-ND (P = 0.007) and hydrocephalus (P = 0.044). CONCLUSIONS: Experienced neurosurgeons tend to favor delayed intervention for aSAH surgery. While experience positively influences early outcomes, its impact on long-term results is less significant. Future studies could lead to improvements in neurosurgical practices.
Source: World Neurosurgery
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,920
OpenAlex ID: W4405028581