The department from 1999 to 2006 out of

The factors that predispose an aneurysm to bleed and the
factors that precipitate rebleed in an already bled aneurysm are still not
fully understood. Rebleeding carries a high risk of poor outcome. Possible
factors include high systolic blood pressure, sentinel headache, initial loss
of consciousness, poor Hunt and Hess grade, high Fisher grade on initial CT,
large aneurysm size, and the performance of angiography .In a similar study
done by our department from 1999 to 2006 out of the 952 patients admitted for
Subarachnoid hemorrhage following aneurysmal bleed, 20 patients had rebled in
our institute while awaiting surgery. That study concluded that old and
anterior circulation aneurysms were associated with more risk while other
factors were not significant.In sharp contrast to other studies the low rebleed
rate was thought to be due to delayed admissions after a week where the peak
incidence of rebleed takes place.The current study aims to analyse the current
factors associated with aneurysmal rebleed and compare and contrast with a age
and sex matched cohort along with drawing comparisons with the previously
published study.

AIMS AND OBJECTIVE

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The aim of this study is to analyze admitted patients of
aneurysmal SAH from 2007 to 2017 for rebleed and study the clinical profile and
current frequency along with isolating the parameters and comparing with the
previous study to assess any change in the dynamics of hospital delivery system
and current management practices        

 

         

MATERIALS AND METHODS

Retrospective analysis of patients with
aneurysmal subarachnoid hemorrhage (SAH) since January 2007 to 2017 in this
teritary  institute. Sixteen
patients  were identified with rebleed
post admission and before intervention in this period.Rebleeding was defined as
using parameters as sudden loss of 
consciousness ,increase in headache and fresh blood on computerized
tomography (CT scan) when compared with previously done  scans. Fischer’s grading scores were used for
CT scan while WFNS was used for clinical grading of  of subarachnoid hemorrhage. Outcome was
measured with mRS and Glasgow outcome score. This data set was compared with a
age and sex matched cohort  of sixteen patients
of aneurysmal SAH without rebleed from the year 2007 to 2017.Comparision
was  drawn with a previously published
study of a similar nature taking rebleed patients from 1999 to 2007.alongwith
other major series on rebleeding. predisposing factors for rebleed were
analysed : age, gender, hypertension, time since first bleed, grade 

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