Intraventricular hemorrhage from ruptured aneurysm: clinical characteristics, complications, and outcomes in a large, prospective, multicenter study population

David S. Rosen M.D., R. Loch Macdonald M.D., Ph.D., Dezheng Huo M.S., M.D., Fernando D. Goldenberg M.D., Roberta L. Novakovic M.D., Jeffrey I. Frank M.D., and Axel J. Rosengart M.D., Ph.D.
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Object

In this study the authors analyzed the relationship of intraventricular hemorrhage (IVH) to in-hospital complications and clinical outcome in a large population of patients with aneurysmal subarachnoid hemorrhage (SAH).

Methods

Data from 3539 patients with aneurysmal SAH were evaluated, and these data were obtained from four prospective, randomized, double-blind, placebo-controlled trials of tirilazad that had been conducted between 1991 and 1997. Clinical characteristics, in-hospital complications, and outcome at 3 months post-SAH (Glasgow Outcome Scale score) were analyzed with regard to the presence or absence of IVH.

Results

Patients with SAH and IVH differ in demographic and admission characteristics from those with SAH but without IVH and are more likely to suffer in-hospital complications and a worse outcome at 3 months post-SAH.

Conclusions

The presence of IVH in patients with SAH has an important predictive value with regard to these aspects.

Abbreviations used in this paper: CI = confidence interval; CT = computed tomography; GOS = Glasgow Outcome Scale; ICH = intracerebral hemorrhage; IVH = intraventricular hemorrhage; OR = odds ratio; SAH = subarachnoid hemorrhage.

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Contributor Notes

Address reprint requests to: Axel J. Rosengart, M.D., Ph.D., Neurocritical Care and Acute Stroke Program, Department of Neurology, The University of Chicago, 5841 South Maryland Avenue, MC 2030, Chicago, Illinois 60637. email: arosenga@neurology.bsd.uchicago.edu.
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