Clinical Profile, Risk Factors and Outcome Assessment of Aneurysmal Subarachnoid Hemorrhage (SAH) Patients: A Multicenter Study in Bangladesh

Abhishek Chaturbedi; ATM Mosharef Hossain; SK Sader Hossain; Zillur Rahman; Kanak Kanti Barua

doi:doi:10.11648/j.ijn.20180202.16

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Clinical Profile, Risk Factors and Outcome Assessment of Aneurysmal Subarachnoid Hemorrhage (SAH) Patients: A Multicenter Study in Bangladesh

Abhishek Chaturbedi, ATM Mosharef Hossain, SK Sader Hossain, Zillur Rahman, Kanak Kanti Barua

Published in International Journal of Neurosurgery (Volume 2, Issue 2)

Received: 18 November 2018 Accepted: 5 December 2018 Published: 15 January 2019

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Abstract

The vast majority of the literature on aneurysmal Subarachnoid Hemorrhage (aSAH) is flawed by the homogeneity of Caucasian population in western based studies. There is dearth of such studies in the Indian Subcontinent which has different demographics, cultural differences and health problems, which we aim to explore with this study. This cross-sectional observational study on aSAH patients was conducted in 3 different hospitals in Bangladesh from 2016 to 2017. A total of 45 adult patients who fulfilled the selection criteria were enrolled in this study. Patients with confirmed SAH from ruptured cerebral aneurysm by various cerebral angiographic studies were evaluated for clinical profile, risk factors and outcome assessment. Headache (100%) was the most common presenting symptom. We found female predominance (62%), the age group with maximum number of patients was 41-60 years (60%). The most common clinical risk factor was hypertension (55%). Half of the patients have size of the ruptured cerebral aneurysm dome <7 mm. The most common location of the aneurysm was anterior communicating artery (51%). Statistically significant association was found between the Glasgow Outcome Scale at the time of discharge from the hospital with the Fischer Grading of SAH (p value of 0.03). Our study comprising Bangladeshi patients with aSAH had certain similarities and dissimilarities with predominantly white based western studies. Half of the patients in our study had small sized aneurysm which are known to rarely rupture, should provoke new thoughts about their management among neurosurgeons.

Published in	International Journal of Neurosurgery (Volume 2, Issue 2)
DOI	10.11648/j.ijn.20180202.16
Page(s)	43-49
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Subarachnoid Hemorrhage, Cerebral Aneurysm, Risk Factors

References

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APA Style

Abhishek Chaturbedi, ATM Mosharef Hossain, SK Sader Hossain, Zillur Rahman, Kanak Kanti Barua. (2019). Clinical Profile, Risk Factors and Outcome Assessment of Aneurysmal Subarachnoid Hemorrhage (SAH) Patients: A Multicenter Study in Bangladesh. International Journal of Neurosurgery, 2(2), 43-49. https://doi.org/10.11648/j.ijn.20180202.16

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ACS Style

Abhishek Chaturbedi; ATM Mosharef Hossain; SK Sader Hossain; Zillur Rahman; Kanak Kanti Barua. Clinical Profile, Risk Factors and Outcome Assessment of Aneurysmal Subarachnoid Hemorrhage (SAH) Patients: A Multicenter Study in Bangladesh. Int. J. Neurosurg. 2019, 2(2), 43-49. doi: 10.11648/j.ijn.20180202.16

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AMA Style

Abhishek Chaturbedi, ATM Mosharef Hossain, SK Sader Hossain, Zillur Rahman, Kanak Kanti Barua. Clinical Profile, Risk Factors and Outcome Assessment of Aneurysmal Subarachnoid Hemorrhage (SAH) Patients: A Multicenter Study in Bangladesh. Int J Neurosurg. 2019;2(2):43-49. doi: 10.11648/j.ijn.20180202.16

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@article{10.11648/j.ijn.20180202.16,
  author = {Abhishek Chaturbedi and ATM Mosharef Hossain and SK Sader Hossain and Zillur Rahman and Kanak Kanti Barua},
  title = {Clinical Profile, Risk Factors and Outcome Assessment of Aneurysmal Subarachnoid Hemorrhage (SAH) Patients: A Multicenter Study in Bangladesh},
  journal = {International Journal of Neurosurgery},
  volume = {2},
  number = {2},
  pages = {43-49},
  doi = {10.11648/j.ijn.20180202.16},
  url = {https://doi.org/10.11648/j.ijn.20180202.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20180202.16},
  abstract = {The vast majority of the literature on aneurysmal Subarachnoid Hemorrhage (aSAH) is flawed by the homogeneity of Caucasian population in western based studies. There is dearth of such studies in the Indian Subcontinent which has different demographics, cultural differences and health problems, which we aim to explore with this study. This cross-sectional observational study on aSAH patients was conducted in 3 different hospitals in Bangladesh from 2016 to 2017. A total of 45 adult patients who fulfilled the selection criteria were enrolled in this study. Patients with confirmed SAH from ruptured cerebral aneurysm by various cerebral angiographic studies were evaluated for clinical profile, risk factors and outcome assessment. Headache (100%) was the most common presenting symptom. We found female predominance (62%), the age group with maximum number of patients was 41-60 years (60%). The most common clinical risk factor was hypertension (55%). Half of the patients have size of the ruptured cerebral aneurysm dome <7 mm. The most common location of the aneurysm was anterior communicating artery (51%). Statistically significant association was found between the Glasgow Outcome Scale at the time of discharge from the hospital with the Fischer Grading of SAH (p value of 0.03). Our study comprising Bangladeshi patients with aSAH had certain similarities and dissimilarities with predominantly white based western studies. Half of the patients in our study had small sized aneurysm which are known to rarely rupture, should provoke new thoughts about their management among neurosurgeons.},
 year = {2019}
}

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TY - JOUR
T1 - Clinical Profile, Risk Factors and Outcome Assessment of Aneurysmal Subarachnoid Hemorrhage (SAH) Patients: A Multicenter Study in Bangladesh
AU - Abhishek Chaturbedi
AU - ATM Mosharef Hossain
AU - SK Sader Hossain
AU - Zillur Rahman
AU - Kanak Kanti Barua
Y1 - 2019/01/15
PY - 2019
N1 - https://doi.org/10.11648/j.ijn.20180202.16
DO - 10.11648/j.ijn.20180202.16
T2 - International Journal of Neurosurgery
JF - International Journal of Neurosurgery
JO - International Journal of Neurosurgery
SP - 43
EP - 49
PB - Science Publishing Group
SN - 2640-1959
UR - https://doi.org/10.11648/j.ijn.20180202.16
AB - The vast majority of the literature on aneurysmal Subarachnoid Hemorrhage (aSAH) is flawed by the homogeneity of Caucasian population in western based studies. There is dearth of such studies in the Indian Subcontinent which has different demographics, cultural differences and health problems, which we aim to explore with this study. This cross-sectional observational study on aSAH patients was conducted in 3 different hospitals in Bangladesh from 2016 to 2017. A total of 45 adult patients who fulfilled the selection criteria were enrolled in this study. Patients with confirmed SAH from ruptured cerebral aneurysm by various cerebral angiographic studies were evaluated for clinical profile, risk factors and outcome assessment. Headache (100%) was the most common presenting symptom. We found female predominance (62%), the age group with maximum number of patients was 41-60 years (60%). The most common clinical risk factor was hypertension (55%). Half of the patients have size of the ruptured cerebral aneurysm dome <7 mm. The most common location of the aneurysm was anterior communicating artery (51%). Statistically significant association was found between the Glasgow Outcome Scale at the time of discharge from the hospital with the Fischer Grading of SAH (p value of 0.03). Our study comprising Bangladeshi patients with aSAH had certain similarities and dissimilarities with predominantly white based western studies. Half of the patients in our study had small sized aneurysm which are known to rarely rupture, should provoke new thoughts about their management among neurosurgeons.
VL - 2
IS - 2
ER -

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Author Information

Abhishek Chaturbedi

Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
ATM Mosharef Hossain

Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
SK Sader Hossain

Department of Neurosurgery, National Institute of Neuroscience and Hospital, Dhaka, Bangladesh
Zillur Rahman

Department of Neurosurgery, Dhaka Medical College and Hospital, Dhaka, Bangladesh
Kanak Kanti Barua

Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

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APA Style

Abhishek Chaturbedi, ATM Mosharef Hossain, SK Sader Hossain, Zillur Rahman, Kanak Kanti Barua. (2019). Clinical Profile, Risk Factors and Outcome Assessment of Aneurysmal Subarachnoid Hemorrhage (SAH) Patients: A Multicenter Study in Bangladesh. International Journal of Neurosurgery, 2(2), 43-49. https://doi.org/10.11648/j.ijn.20180202.16

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ACS Style

Abhishek Chaturbedi; ATM Mosharef Hossain; SK Sader Hossain; Zillur Rahman; Kanak Kanti Barua. Clinical Profile, Risk Factors and Outcome Assessment of Aneurysmal Subarachnoid Hemorrhage (SAH) Patients: A Multicenter Study in Bangladesh. Int. J. Neurosurg. 2019, 2(2), 43-49. doi: 10.11648/j.ijn.20180202.16

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AMA Style

Abhishek Chaturbedi, ATM Mosharef Hossain, SK Sader Hossain, Zillur Rahman, Kanak Kanti Barua. Clinical Profile, Risk Factors and Outcome Assessment of Aneurysmal Subarachnoid Hemorrhage (SAH) Patients: A Multicenter Study in Bangladesh. Int J Neurosurg. 2019;2(2):43-49. doi: 10.11648/j.ijn.20180202.16

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@article{10.11648/j.ijn.20180202.16,
  author = {Abhishek Chaturbedi and ATM Mosharef Hossain and SK Sader Hossain and Zillur Rahman and Kanak Kanti Barua},
  title = {Clinical Profile, Risk Factors and Outcome Assessment of Aneurysmal Subarachnoid Hemorrhage (SAH) Patients: A Multicenter Study in Bangladesh},
  journal = {International Journal of Neurosurgery},
  volume = {2},
  number = {2},
  pages = {43-49},
  doi = {10.11648/j.ijn.20180202.16},
  url = {https://doi.org/10.11648/j.ijn.20180202.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20180202.16},
  abstract = {The vast majority of the literature on aneurysmal Subarachnoid Hemorrhage (aSAH) is flawed by the homogeneity of Caucasian population in western based studies. There is dearth of such studies in the Indian Subcontinent which has different demographics, cultural differences and health problems, which we aim to explore with this study. This cross-sectional observational study on aSAH patients was conducted in 3 different hospitals in Bangladesh from 2016 to 2017. A total of 45 adult patients who fulfilled the selection criteria were enrolled in this study. Patients with confirmed SAH from ruptured cerebral aneurysm by various cerebral angiographic studies were evaluated for clinical profile, risk factors and outcome assessment. Headache (100%) was the most common presenting symptom. We found female predominance (62%), the age group with maximum number of patients was 41-60 years (60%). The most common clinical risk factor was hypertension (55%). Half of the patients have size of the ruptured cerebral aneurysm dome <7 mm. The most common location of the aneurysm was anterior communicating artery (51%). Statistically significant association was found between the Glasgow Outcome Scale at the time of discharge from the hospital with the Fischer Grading of SAH (p value of 0.03). Our study comprising Bangladeshi patients with aSAH had certain similarities and dissimilarities with predominantly white based western studies. Half of the patients in our study had small sized aneurysm which are known to rarely rupture, should provoke new thoughts about their management among neurosurgeons.},
 year = {2019}
}

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