Traumatic Subarachnoid Hemorrhage Lesion Progression on Computed Tomography and Neurological Outcomes

Authors

  • Anukoon Kaewborisutsakul Department of Surgery, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
  • Nakornchai Phuenpathom Department of Surgery, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
  • Hutcha Sriplung Epidemiology unit, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand

Keywords:

Traumatic subarachnoid hemorrhage, Lesion progression, Outcome

Abstract

Objective: The study aimed to investigate the neurological outcomes among traumatic brain injury patients with traumatic subarachnoid hemorrhage (tSAH) and the prognostic factors of intracranial lesion progression onadmission and subsequent-CT scans.

Materials and Methods: The study included moderate to severe traumatic brain injury patients who, had tSAH on admission and a CT scan between: January 2009 to December 2011. All patients, included in the study, had a subsequent CT scan within 48 hours after their initial scan. The outcomes were evaluated with Extended Glasgow Outcome Scale (GOSE) at 6 months after injury.

Results: 468 patients with moderate to severe traumatic brain injuries were reviewed. 147 patients (31.4%) had tSAH on admission along with a CT scan. Among this group, 38 patients (27.3%) had CT lesion progression. The 6-month mortality rate was 16.5%. Multivariate analysis, factors independently related to unfavorable outcome were age (adjusted OR 1.05, 95% CI 1.02-1.07), the Glasgow Coma Scale score (GCS) (adjusted OR 3.47, 95% CI 1.42-9.99) and lesion progression (adjusted OR 9.15, 95% CI 3.78-27.08)

Conclusion: The outcome of patients with tSAH at admission is related to age, admission GCS and significant CT progression.

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Published

2018-12-31

How to Cite

1.
Kaewborisutsakul A, Phuenpathom N, Sriplung H. Traumatic Subarachnoid Hemorrhage Lesion Progression on Computed Tomography and Neurological Outcomes. Thai J Surg [Internet]. 2018 Dec. 31 [cited 2024 Dec. 23];39(4):115-21. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/227605

Issue

Vol. 39 No. 4 (2018): October - December

Section

Original Articles

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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.